SUMMIT MEDICAL GROUP (NPI# 1346515491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346515491 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP |
| Other Organization Name | ST. ELIZABETH PHYSICIANS |
| Practice Address |
204 Bridgeway St Aurora IN 47001-1334 |
| Mailing Address |
2300 Chamber Center Dr Su. 200 Lakeside Park KY 41017-1673 |
| Practice Telephone | 8129263133 |
| Practice Fax Number | 8129261668 |
| Mailing Telephone | 8593445555 |
| Mailing Fax Number | 8593445552 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | GLENN LOOMIS (PRESIDEN, CEO) |
| Authorized Official Telephone | 8593443733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Elizabeth Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235275207 | Summit Medical Group | Clinic/Center | 100 Highland Ave Ste 307, Providence, RI 02906-2753 | 2007-01-29 |
| 1457749376 | Summit Medical Group | Clinic/Center | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2014-12-30 |
| 1831595024 | Summit Medical Group | Internal Medicine | 27702 Crown Valley Pkwy, Suite D4-113, Ladera Ranch, CA 92694-0608 | 2014-11-14 |
| 1972918977 | Summit Medical Group | Clinic/Center | 38660 Medical Center Dr, Space A130, Palmdale, CA 93551-4385 | 2014-06-27 |
| 1164788261 | Summit Medical Group | Nurse Practitioner | 340 Thomas More Pkwy, Su. 160a, Crestview Hills, KY 41017-5100 | 2012-04-03 |
| 1548536568 | Summit Medical Group | Family Medicine | 300 Commercial Dr, Alexandria, KY 41001-2107 | 2012-03-23 |
| 1780959833 | Summit Medical Group | Family Medicine | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2012-03-21 |
| 1679851729 | Summit Medical Group | Counselor | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2011-07-22 |
| 1871804344 | Summit Medical Group | Durable Medical Equipment & Medical Supplies | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2010-06-29 |
| 1942532825 | Summit Medical Group | Clinic/Center | 340 Thomas More Pkwy, Suite 160 B, Crestview Hills, KY 41017-5100 | 2010-02-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUMMIT MEDICAL GROUP ARIZONA LLC | 5620 W Thunderbird Rd Ste F1, Glendale, AZ 85306-4652 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BEND MEMORIAL CLINIC | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BEND UROLOGY | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BEND UROLOGY ASSOCIATES | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BMC | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BMC TOTAL CARE | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BUA | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Indiana Business Entities | SUMMIT MEDICAL GROUP, INC. | 334 Thomas More Pkwy, Ste 160, Edgewood, KY 41017 |
| Street Address |
204 BRIDGEWAY ST |
| City | AURORA |
| State | IN |
| Zip Code | 47001-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780792903 | Aleah Pendergraff Gibson | Family Medicine | 204 Bridgeway St, Aurora, IN 47001 | 2006-08-28 |
| 1952839961 | Kimberly Myers | Nurse Practitioner | 204 Bridgeway St, Aurora, IN 47001 | 2017-06-03 |
| 1972890481 | Mary Anna Jansen | Family Medicine | 204 Bridgeway St, Aurora, IN 47001 | 2011-07-05 |
| 1386762714 | Laura S. Allen | Family Medicine | 204 Bridgeway St, Aurora, IN 47001-1334 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376563965 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 512 Green Blvd, Aurora, IN 47001 | 2006-07-19 |
| 1609829480 | Advanced Vision Care Center, LLC | Optometrist | 100 Sycamore Estates Dr, Aurora, IN 47001 | 2006-05-19 |
| 1518978899 | Aurora Emergency Rescue, Inc. | Ambulance | 320 3rd St, Aurora, IN 47001 | 2006-08-11 |
| 1871969311 | Roberta Hall | Taxi | 136 Franklin St, Aurora, IN 47001-1018 | 2015-08-19 |
| 1598184111 | Debra Ann Dicarlo | Speech-Language Pathologist | 102 Conwell St, Aurora, IN 47001-1110 | 2014-04-10 |
| 1609994326 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 511 W Conwell St, Aurora, IN 47001-1137 | 2007-03-27 |
| 1982723300 | Voca In, LLC | Intermediate Care Facility, Mentally Retarded | 207 Hanover Ave, Aurora, IN 47001-1151 | 2007-03-28 |
| 1720625155 | James Charles Soukup Jr. | Massage Therapist | 310 4th St, Aurora, IN 47001-1206 | 2019-12-04 |
| 1295833077 | Douglas Ronald Ruter | Dentist | 402 4th St, Aurora, IN 47001-1208 | 2006-09-20 |
| 1740387000 | Douglas R Ruter Dds Psc | Dentist | 402 4th St, Aurora, IN 47001-1208 | 2006-09-20 |
| Find all providers in zip 47001 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1982051017 | Senuri Layer | Internal Medicine | 2357 Sequoia Dr, Aurora, IL 60506 | 2016-05-18 |
| 1881056323 | Robert William Lentz | Internal Medicine | 12801 E. 17th Avenue 8101, 8th Floor, Ms 8117, Aurora, CO 80045 | 2016-03-23 |
| 1114306669 | Layla Abushamat | Internal Medicine | 12801 E 17th Ave Rm 7103, Aurora, CO 80045 | 2015-05-28 |
| 1912386582 | Carly E Hurley | Internal Medicine | Va Eastern Health Care Systems, 1700 North Wheeling Street, Aurora, CO 80045 | 2015-05-28 |
| 1306223656 | Shah Medical LLC | Internal Medicine | 6337 S Ider Way, Aurora, CO 80016-4280 | 2015-05-06 |
| 1285021147 | Erin Elizabeth Finn | Internal Medicine | 13123 E 16th Ave # B265, Aurora, CO 80045 | 2015-04-18 |
| 1366836256 | Lindsay Forbes | Internal Medicine | 12700 E 19th Avenue Rc2 9th Floor, University of Colorado Anschutz Div Pulm Crit Care, Aurora, CO 80045 | 2015-03-27 |
| 1205220779 | Eleanor Christine Floyd | Internal Medicine | 13123 E 16th Ave # B32, Aurora, CO 80045-7106 | 2015-03-23 |
| 1013309277 | Joshua Champion | Internal Medicine | 12631 E. 17th Ave, Ste. 2001, Mail Stop 8202, Aurora, CO 80045 | 2015-02-25 |
| Find all providers in AURORA | ||||
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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.