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SUMMIT MEDICAL GROUP INC NPI 1790042430


NPI Information

NPI: 1790042430
Provider Name: SUMMIT MEDICAL GROUP, INC

Doing Business As: ST. ELIZABETH PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D2154289

Address:
2626 ALEXANDRIA PIKE
HIGHLAND HEIGHTS, KY
ZIP 41076
Phone: (859) 781-4111
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SUMMIT MEDICAL GROUP, INC is a family medicine in Highland Heights, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUMMIT MEDICAL GROUP, INC NPI is 1790042430. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Elizabeth Physicians.

The provider's business location address is:

2626 ALEXANDRIA PIKE
HIGHLAND HEIGHTS, KY
ZIP 41076-530
Phone: (859) 781-4111
Fax: (859) 441-5214

The provider's authorized official is Maria Rankin .
The authorized official title is Avp-revenue Cycle and has the following contact phone number (859) 344-5555.

The CLIA number assigned to this NPI record is 18D2154289 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/19/2012 and was last updated on 7/1/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2261QU0200XClinic/CenterUrgent CareNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo

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: 5/5/2024

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