SUMMIT HEALTHCARE MEDICAL ASSOCIATES (NPI# 1467878108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467878108 |
| Entity Type | Organization |
| Organization Name | SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
| Practice Address |
5171 Cub Lake Rd Suite B230 Show Low AZ 85901-7888 |
| Mailing Address |
3401 S White Mountain Rd Suite E Show Low AZ 85901-7607 |
| Practice Telephone | 9285379944 |
| Practice Fax Number | 9285379945 |
| Mailing Telephone | 9285376792 |
| Mailing Fax Number | 9285325320 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Authorized Official Name | KENNETH ALLEN (CHIEF OF PHYSICIAN SERVICES) |
| Authorized Official Telephone | 9285376576 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT HEALTHCARE ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093368789 | Summit Healthcare Medical Associates | Family Medicine | 728 E White Mountain Blvd, Pinetop, AZ 85929 | 2019-07-22 |
| 1942701693 | Summit Healthcare Medical Associates | Clinic/Center | 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901-7801 | 2018-02-27 |
| 1659807261 | Summit Healthcare Medical Associates | Pain Medicine | 1500 S White Mountain Rd, Suite 300, Show Low, AZ 85901-7111 | 2017-05-03 |
| 1770700767 | Summit Healthcare Medical Associates | Clinic/Center | 2352 Quarter Horse Trail, Overgaard, AZ 85933 | 2007-04-19 |
| Street Address |
5171 CUB LAKE RD SUITE B230 |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-7888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660997 | Michelle M Mulder | Specialist | 5171 Cub Lake Rd, Suite B210, Show Low, AZ 85901-7888 | 2005-06-22 |
| 1538510573 | Luke Wahlstrom | Physical Therapist | 5171 Cub Lake Rd, Suite C310, Show Low, AZ 85901-7888 | 2016-06-30 |
| 1831472729 | Vance Patrick Hoopes | Physical Therapist | 5171 Cub Lake Rd, Suite C 360, Show Low, AZ 85901-7888 | 2011-09-27 |
| 1124356274 | Kathy A Daley | Physical Therapist | 5171 Cub Lake Rd, Suite C 360, Show Low, AZ 85901-7888 | 2009-12-01 |
| 1568790616 | Steven E Kempton | Physical Therapist | 5171 Cub Lake Rd, Suite C 360, Show Low, AZ 85901-7888 | 2009-12-01 |
| 1821326224 | Robins Nest Pediatrics, Pllc | Specialist | 5171 Cub Lake Rd, Ste B280, Show Low, AZ 85901-7888 | 2009-11-23 |
| 1740432590 | University Ob-gyn, LLC | Obstetrics & Gynecology | 5171 Cub Lake Rd, Bldg B #210, Show Low, AZ 85901 | 2008-10-10 |
| 1881860252 | John Dallas Davis | Physical Therapist | 5171 Cub Lake Rd, Suite C- 360, Show Low, AZ 85901-7888 | 2008-05-05 |
| 1063694271 | Elizabeth J Finan | Physical Therapist | 5171 Cub Lake Rd, Suite C-360, Show Low, AZ 85901-7888 | 2007-11-29 |
| 1215119524 | Peter Niemczyk Md Facs LLC | Urology | 5171 Cub Lake Rd, Suite C340, Show Low, AZ 85901-7888 | 2007-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235581539 | Randal Lloyd Cooper | Family Medicine | 2650 E Show Low Lake Rd Ste 1, Show Low, AZ 85901-7955 | 2016-07-11 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1972898013 | Robert J Casey Do PC | Family Medicine | 5171 Cub Lake Rd Ste 270, Show Low, AZ 85901-7888 | 2011-06-16 |
| 1821329129 | Elizabeth Wild Bierer | Family Medicine | 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901-7801 | 2010-01-26 |
| 1629091020 | Mountain View Family Practice | Family Medicine | 680 E Deuce of Clubs, Suite A, Show Low, AZ 85901-4827 | 2006-07-26 |
| 1013966795 | Elizabeth C Turgeon | Family Medicine | 5171 Cub Lake Rd # 270, Show Low, AZ 85901-7888 | 2006-05-09 |
| 1447224548 | Craig Gilbert Brady | Family Medicine | 151 N. White Mountain Rd. Suite E, Show Low, AZ 85901 | 2006-02-15 |
| 1912971375 | Show Low Medical Clinic PC | Family Medicine | 320 E Deuce of Clubs, Show Low, AZ 85901-4808 | 2006-02-14 |
| 1053385435 | Scott Hastings Do Inc | Family Medicine | 151 N White Mountain Rd Ste E, Show Low, AZ 85901-5298 | 2006-02-14 |
| 1023088341 | Lois R Speelman | Family Medicine | 2051 Evergreen Ln, Suite D, Show Low, AZ 85901-7928 | 2006-01-26 |
| Find all providers in SHOW LOW | ||||
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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.