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SUMMIT MEDICAL GROUP PLLC NPI 1639206212


NPI Information

NPI: 1639206212
Provider Name: SUMMIT MEDICAL GROUP, PLLC

Doing Business As: TRINITY MEDICAL ASSOCIATES, PC NON-PHARMACY DISPENSING SITE

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
280 FORT SANDERS WEST BLVD STE 101
KNOXVILLE, TN
ZIP 37922
Phone: (865) 934-4252
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SUMMIT MEDICAL GROUP, PLLC is a non pharmacy dispensing site in Knoxville, TN. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SUMMIT MEDICAL GROUP, PLLC NPI is 1639206212. The provider is registered as an organization entity type.
The provider Is Doing Business As Trinity Medical Associates, Pc Non-pharmacy Dispensing Site.

The provider's business location address is:

280 FORT SANDERS WEST BLVD STE 101
KNOXVILLE, TN
ZIP 37922-352
Phone: (865) 934-4252
Fax: (865) 539-1816

The provider's authorized official is Zandra M Mills .
The authorized official title is Credentialing Coordinator and has the following contact phone number (865) 500-2144.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 1/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site20447TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14440119OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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