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SUMMIT MEDICAL CENTER NPI 1962914242


NPI Information

NPI: 1962914242
Provider Name: SUMMIT MEDICAL CENTER
Classification: Psychiatry & Neurology - 2084V0102X
Entity Type: Organization

Specialization: Vascular Neurology

Address:
4440 S EASTERN AVE
LAS VEGAS, NV
ZIP 89119
Phone: (702) 476-0023
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SUMMIT MEDICAL CENTER is a vascular neurology psychiatry neurology in Las Vegas, NV. The provider is vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. SUMMIT MEDICAL CENTER NPI is 1962914242. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4440 S EASTERN AVE
LAS VEGAS, NV
ZIP 89119-825
Phone: (702) 476-0023
Fax: (702) 973-3477

The provider's authorized official is Teneshia Dachell Spencer .
The authorized official title is Ceo/owner and has the following contact phone number (702) 476-0023.

The enumeration date for this NPI number is 10/26/2017 and was last updated on 10/26/2017.


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
12084V0102XPsychiatry & NeurologyVascular NeurologyYes

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
11134437114MEDICAIDNEVADA

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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