SUMMIT MEDICAL GROUP INC NPI 1164995544

NPI Information

  • NPI: 1164995544
  • Provider Name: SUMMIT MEDICAL GROUP, INC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • :
  • CLIA Number: 18D0324119
  • Address: 1400 GRAND AVENUE
    NEWPORT, KY
    ZIP 41071
  • Phone: (859) 212-0497

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NPI Details

SUMMIT MEDICAL GROUP, INC is an urology in Newport, KY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. SUMMIT MEDICAL GROUP, INC NPI is 1164995544. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1400 GRAND AVENUE
NEWPORT, KY
ZIP 41071
Phone: (859) 212-0497
Fax: (859) 441-1575

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 18D0324119 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2019 and was last updated on 3/24/2025.

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
1207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryNo
2208800000XUrologyYes
3261QU0200XClinic/CenterUrgent CareNo
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: 11/21/2025

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