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SUMMIT MEDICAL GROUP PLLC NPI 1932279346


NPI Information

NPI: 1932279346
Provider Name: SUMMIT MEDICAL GROUP, PLLC

Doing Business As: STATCARE PULMONARY CONSULTANTS

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 44D2124095

Address:
2240 SUTHERLAND AVE
SUITE 103
KNOXVILLE, TN
ZIP 37919
Phone: (865) 588-8831
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SUMMIT MEDICAL GROUP, PLLC is a pulmonary disease internal medicine in Knoxville, TN. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. SUMMIT MEDICAL GROUP, PLLC NPI is 1932279346. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Statcare Pulmonary Consultants.

The provider's business location address is:

2240 SUTHERLAND AVE
SUITE 103
KNOXVILLE, TN
ZIP 37919-333
Phone: (865) 588-8831
Fax: (865) 588-8841

The provider's authorized official is Ed Curtis .
The authorized official title is Chief Administrative Officer and has the following contact phone number (865) 584-4747.

The CLIA number assigned to this NPI record is 44D2124095 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 11/5/2015.


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
1207RP1001XInternal MedicinePulmonary Disease26700TENNESSEEYes

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
13706633MEDICARE PINTENNESSEE
2CA0696MEDICARE PINTENNESSEE

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: 11/14/2023

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