SUMMIT SURGEONS, LLC (NPI# 1164551743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164551743 |
| Entity Type | Organization |
| Organization Name | SUMMIT SURGEONS, LLC |
| Practice Address |
1810 Stadium Dr Suite 130 Phenix City AL 36867-3100 |
| Mailing Address |
2257 Taylor Rd Suite 200 Montgomery AL 36117-7790 |
| Practice Telephone | 3344484123 |
| Practice Fax Number | 3344484228 |
| Mailing Telephone | 3342709914 |
| Mailing Fax Number | 3342703195 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | DR. RONALD J BARRETTE (PRESIDENT) |
| Authorized Official Telephone | 3344484123 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1810 STADIUM DR SUITE 130 |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36867-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457332173 | Linda Sue Borkat | Registered Nurse | 1810 Stadium Dr, Suite 220, Phenix City, AL 36867-3100 | 2005-11-09 |
| 1225403397 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 1810 Stadium Dr, Suite 120, Phenix City, AL 36867-3177 | 2015-12-01 |
| 1629203047 | Karin W Baker Md | Physical Medicine & Rehabilitation | 1810 Stadium Dr, Suite 130, Phenix City, AL 36867-3177 | 2009-05-29 |
| 1538320668 | Adrienne Nicole Crow | Obstetrics & Gynecology | 1810 Stadium Dr, Phenix City, AL 36867-3177 | 2008-06-20 |
| 1578758553 | Jacksons Point of Light Family Medicine Inc. | Family Medicine | 1810 Stadium Dr, Suite 210, Phenix City, AL 36867-3177 | 2007-09-12 |
| 1427259225 | Phenixfootcare | Podiatrist | 1810 Stadium Dr, Suite 120, Phenix City, AL 36867-3100 | 2007-05-30 |
| 1821204025 | Stacy C Benoit | Pharmacist | 1810 Stadium Dr, Suite 100, Phenix City, AL 36867-3100 | 2007-05-15 |
| 1376644302 | Elizabeth Buss Robinson | Surgery | 1810 Stadium Dr, Suite 130, Phenix City, AL 36867-3100 | 2006-09-25 |
| 1982715538 | Dennis Keith Harden | Family Medicine | 1810 Stadium Dr, Ste 240, Phenix City, AL 36867 | 2006-08-31 |
| 1134136732 | B.l. Carden, Md,llc | Family Medicine | 1810 Stadium Dr, Suite 220, Phenix City, AL 36867-3100 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576986 | Victoria Martinec | Dental Hygienist | 3732 Us Hwy 280, Phenix City, AL 36867 | 2020-04-06 |
| 1255993390 | Alexa Paige Jones | Family Medicine | 3700 Ste A S Railroad St, Phenix City, AL 36867 | 2019-06-28 |
| 1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
| 1134613714 | Sarah Uehara Yee | Dentist | 3732 Hwy 280 Bypass, Phenix City, AL 36867 | 2018-06-18 |
| 1770074676 | James L Pridgen IIi | Registered Nurse | 1533 Summerplace Dr, Phenix City, AL 36867 | 2018-05-25 |
| 1598288219 | Rachelle Moliere | Nurse Practitioner | 4402 Riverchase Drive, #4301, Phenix City, AL 36867 | 2017-07-25 |
| 1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
| 1770003774 | Tabatha Yvette Jones | Registered Nurse | 506 Lee Rd 554, Phenix City, AL 36867 | 2017-06-21 |
| 1134659030 | Jack Clifford Golden Jr. | Pharmacist | 3700 Us Hwy 280/431n, Phenix City, AL 36867 | 2017-06-14 |
| 1386098440 | Mudassar Khan | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867 | 2016-04-14 |
| Find all providers in zip 36867 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376644302 | Elizabeth Buss Robinson | Surgery | 1810 Stadium Dr, Suite 130, Phenix City, AL 36867-3100 | 2006-09-25 |
| 1942256623 | Ronald James Barrette | Surgery | 1810 Stadium Dr, Suite 130, Phenix City, AL 36867-3100 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206740 | Robert Heuermann Md LLC | Surgery | 107 Patty Lane, Talladega, AL 35160 | 2020-02-06 |
| 1497311989 | I & B Testing LLC | Surgery | 975 9th Ave Sw Ste 507, Bessemer, AL 35022-7837 | 2019-05-10 |
| 1306336011 | Jinwoo Hur | Surgery | 2305 Vincente Dr, Auburn, AL 36830-1449 | 2018-05-17 |
| 1194256438 | Jackson Hospital and Clinic Inc. | Surgery | 1722 Pine St Ste 201, Montgomery, AL 36106-1158 | 2017-03-27 |
| 1528413051 | Vinh Nguyen Md PC | Surgery | 100 Pilot Medical Dr Ste 285, Birmingham, AL 35235-3475 | 2016-05-03 |
| 1083087340 | Alabama Bariatrics and Minimally Invasive Surgery, PC | Surgery | 705 Bank St Ne, Decatur, AL 35601-1609 | 2015-11-09 |
| 1245608306 | Grandview Surgery LLC | Surgery | 316 Alpine St, Irondale, AL 35210-3210 | 2015-09-07 |
| 1891174488 | Vivian B Yeilding | Surgery | 2022 Brookwood Medical Ctr Dr Ste 207, Birmingham, AL 35209-6807 | 2015-05-28 |
| 1184013138 | Duerr Surgical, LLC | Surgery | 1008 Boll Weevil Cir Ste D, Enterprise, AL 36330-3400 | 2015-01-14 |
| 1356757991 | Michael Trace Stafford | Surgery | 1123 Belleville Ave, Brewton, AL 36426-1505 | 2014-07-03 |
| Find all providers with the same taxonomy | ||||
| City | PHENIX CITY |
| Zip Code | 36867 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.