SUMMIT MEDICAL GROUP INC NPI 1578984779

NPI Information

  • NPI: 1578984779
  • Provider Name: SUMMIT MEDICAL GROUP, INC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: ST. ELIZABETH PHYSICIANS
  • CLIA Number: 18D2242499
  • Address: 4387 WINSTON AVE
    COVINGTON, KY
    ZIP 41015
  • Phone: (859) 431-7300

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NPI Details

SUMMIT MEDICAL GROUP, INC is an internal medicine in Covington, KY. 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, INC NPI is 1578984779. 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:

4387 WINSTON AVE
COVINGTON, KY
ZIP 41015-739
Phone: (859) 431-7300
Fax: (859) 431-5999

The provider's authorized official is Glenn Loomis .
The authorized official title is President/ceo and has the following contact phone number (859) 344-3733.

The CLIA number assigned to this NPI record is 18D2242499 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2013 and was last updated on 12/16/2013.

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
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineNo
3261QU0200XClinic/CenterUrgent CareNo
4207R00000XInternal MedicineYes

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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