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SUMMIT MEDICAL GROUP LLC NPI 1235344060


NPI Information

NPI: 1235344060
Provider Name: SUMMIT MEDICAL GROUP, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
12633 SE OATFIELD RD
MILWAUKIE, OR
ZIP 97222
Phone: (503) 307-1422
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SUMMIT MEDICAL GROUP, LLC is an internal medicine in Milwaukie, OR. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SUMMIT MEDICAL GROUP, LLC NPI is 1235344060. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12633 SE OATFIELD RD
MILWAUKIE, OR
ZIP 97222-939
Phone: (503) 307-1422

The provider's authorized official is Judith A Lindsey .
The authorized official title is Physician And Surgeon and has the following contact phone number (503) 307-1422.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 10/19/2012.


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
1207R00000XInternal Medicine17146OREGONYes

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
11235344060OTHEROREGONMEDICARE NPI
21922074160OTHEROREGONMEDICARE NPI
3R105129MEDICARE PINOREGON
41932162880OTHEROREGONMEDICARE NPI
5R105128MEDICARE PINOREGON
6R134276MEDICARE PINOREGON
7715535-81OTHEROREGONOREGON STATE BUSINESS LIC
8287403MEDICAIDOREGON

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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