SUMMIT MEDICAL GROUP LLC NPI 1952970816

NPI Information

NPI: 1952970816
Provider Name: SUMMIT MEDICAL GROUP LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6310 STEVENS FOREST RD STE 200
COLUMBIA, MD
ZIP 21046
Phone: (410) 740-9001
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SUMMIT MEDICAL GROUP LLC is a family medicine in Columbia, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUMMIT MEDICAL GROUP LLC NPI is 1952970816. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6310 STEVENS FOREST RD STE 200
COLUMBIA, MD
ZIP 21046-068
Phone: (410) 740-9001
Fax: (410) 740-9005

The provider's authorized official is Njideka Udochi .
The authorized official title is Owner and has the following contact phone number (410) 245-2414.

The enumeration date for this NPI number is 6/23/2021 and was last updated on 8/24/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	213E00000X	Podiatrist		No
3	213ES0131X	Podiatrist	Foot Surgery	No
4	207Q00000X	Family Medicine		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	685900301	MEDICAID	MARYLAND
2	D00051897	OTHER	MARYLAND	MD LICENSE

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

NPI Synchronization or Removal

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