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SUMMIT MEDICAL GROUP INC NPI 1780959833


NPI Information

NPI: 1780959833
Provider Name: SUMMIT MEDICAL GROUP, INC

Doing Business As: ST. ELIZABETH PHYSICIANS

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 18D2278432

Address:
1500 JAMES SIMPSON JR WAY
COVINGTON, KY
ZIP 41011
Phone: (859) 655-3111
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SUMMIT MEDICAL GROUP, INC is an ophthalmology in Covington, KY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SUMMIT MEDICAL GROUP, INC NPI is 1780959833. 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:

1500 JAMES SIMPSON JR WAY
COVINGTON, KY
ZIP 41011-801
Phone: (859) 655-3111
Fax: (859) 655-3110

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 18D2278432 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2012 and was last updated on 3/23/2021.


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
1152W00000XOptometristNo
2207Q00000XFamily MedicineNo
3207W00000XOphthalmologyYes

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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