SUMMIT MEDICAL GROUP INC (NPI# 1487925152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487925152 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP INC |
| Other Organization Name | ST. ELIZABETH PHYSICIANS EKG SERVICES |
| Practice Address |
334 Thomas More Pkwy Suite 200 Crestview Hills KY 41017-3496 |
| Practice Telephone | 8593443737 |
| Practice Fax Number | 8593443727 |
| Mailing Telephone | 8593443737 |
| Mailing Fax Number | 8593443727 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-11-08 |
| Authorized Official Name | MR. BRUCE HENLEY (C.F.O.) |
| Authorized Official Telephone | 8593443737 |
| Authorized Official Credential | C.P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Elizabeth Physicians EKG Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568902864 | Summit Medical Group Inc | Family Medicine | 8200 Dixie Hwy, Florence, KY 41042-3225 | 2017-03-06 |
| Street Address |
334 THOMAS MORE PKWY SUITE 200 |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017-3496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379360 | Rebecca Susan Daily | Psychiatry & Neurology | 334 Thomas More Pkwy, Crestview Hills, KY 41017-3464 | 2005-07-07 |
| 1942820444 | Sithandiwe Mamutse | Nurse Practitioner | 334 Thomas More Pkwy, Crestview Hills, KY 41017-3464 | 2020-04-24 |
| 1699243097 | Amerika Irene Adamowski | Nurse Practitioner | 334 Thomas More Pkwy, Crestview Hills, KY 41017-3464 | 2018-11-05 |
| 1871073270 | Jennifer Strimpfel | Psychologist | 334 Thomas More Pkwy, Crestview Hills, KY 41017-3464 | 2018-08-16 |
| 1568988574 | Laura Kremer | Physician Assistant | 334 Thomas More Pkwy, Crestview Hills, KY 41017 | 2017-08-22 |
| 1417488222 | Kelly Renee Sun | Internal Medicine | 334 Thomas More Pkwy, Crestview Hills, KY 41017-3464 | 2017-03-23 |
| 1306204813 | Julie Broderick Gomez | Internal Medicine | 334 Thomas More Pkwy, Crestview Hills, KY 41017-3464 | 2016-01-29 |
| 1043697162 | Ann Makar | Psychiatry & Neurology | 334 Thomas More Pkwy, Crestview Hills, KY 41017-3464 | 2015-04-27 |
| 1962744292 | Melissa Mauser | Social Worker | 334 Thomas More Pkwy, Crestview Hills, KY 41017-3464 | 2013-03-25 |
| 1154685378 | Kenneth Lin | Psychiatry & Neurology | 334 Thomas More Pkwy, Crestview Hills, KY 41017-3464 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1659470284 | Cardiovascular Partners LLC | Internal Medicine | 210 Thomas More Pkwy, Crestview Hills, KY 41017-3424 | 2006-09-21 |
| 1235136425 | Stuart Allen Steinberg | Internal Medicine | 350 Thomas More Pkwy, Ste 280, Crestview Hills, KY 41017-5465 | 2005-07-01 |
| 1164685277 | Mark Gilbert Braverman | Internal Medicine | 350 Thomas More Pkwy, Ste 280, Crestview Hills, KY 41017-5465 | 2008-07-08 |
| 1942329370 | Kevin Patrick Fitzgerald | Internal Medicine | 350 Thomas More Pkwy, Ste 280, Crestview Hills, KY 41017 | 2007-03-28 |
| 1225160419 | Comprehensive Cardiology Consultants, Inc. | Internal Medicine | 350 Thomas More Pkwy, Suite 280, Crestview Hills, KY 41017-5465 | 2007-03-12 |
| 1649302290 | Kami Attarhaye Tehrani | Internal Medicine | 380 Centre View Blvd, Crestview Hills, KY 41017 | 2007-03-09 |
| 1114015583 | Neil D B Desoyza | Internal Medicine | 380 Centre View Blvd, Crestview Hills, KY 41017-3476 | 2006-10-11 |
| 1265480677 | Robert J Toltzis | Internal Medicine | 380 Centre View Blvd, Crestview Hills, KY 41017 | 2006-05-05 |
| 1164415907 | Paul Gregory Houlihan | Internal Medicine | 380 Centre View Blvd, Crestview Hills, KY 41017 | 2005-08-26 |
| 1831182500 | Richard W Grover | Internal Medicine | 380 Centre View Blvd, Crestview Hills, KY 41017 | 2005-08-26 |
| Find all providers in CRESTVIEW HILLS | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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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.