SUMMIT MEDICAL GROUP, INC (NPI# 1750343216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750343216 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP, INC |
| Other Organization Name | ST. ELIZABETH PHYSICIANS |
| Practice Address |
1360 Dolwick Drive Erlanger KY 41018-3127 |
| Practice Telephone | 8593445555 |
| Practice Fax Number | 8593445552 |
| Mailing Telephone | 8593445555 |
| Mailing Fax Number | 8593445552 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | MARIA RANKIN (AVP-REVENUE CYCLE) |
| Authorized Official Telephone | 8593445555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201152300 | 05 | |
| KY | 7100235410 | 05 | |
| OH | 2355115 | 05 | |
| KY | 78902020 | 05 | |
| IN | RAILROAD | DR8623 | 01 |
| KY | 7100018930 | 05 | |
| KY | 7100235400 | 05 | |
| IN | 201157570 | 05 | |
| KY | 65926743 | 05 | |
| IN | 2501152300 | 05 | |
| KY | 7100271890 | 05 | |
| IN | 200993310 | 05 | |
| KY | 7100311260 | 05 | |
| KY | 78003852 | 05 | |
| OH | RAILROAD | DQ9133 | 01 |
| KY | RAILROAD | CC3684 | 01 |
| Other Name | Type Code |
|---|---|
| St Elizabeth Physicians | Doing Business As Name - Organization |
| St. Elizabeth Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396398624 | Summit Medical Group, Inc | Family Medicine | 79 Country Club Drive, Butler, KY 41006-8704 | 2019-07-16 |
| 1174096580 | Summit Medical Group, Inc | Clinic/Center | 8726 Us Highway 42, Florence, KY 41042-8550 | 2019-01-08 |
| 1164995544 | Summit Medical Group, Inc | Urology | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| 1922574854 | Summit Medical Group, Inc | Clinic/Center | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2018-10-18 |
| 1639586688 | Summit Medical Group, Inc | Urology | 7370 Turfway Rd, 3rd Floor, Florence, KY 41042-4895 | 2014-07-22 |
| 1548677636 | Summit Medical Group, Inc | Podiatrist | 525 Alexandria Pike, Ste 230, Southgate, KY 41071-3290 | 2014-07-21 |
| 1508287640 | Summit Medical Group, Inc | Counselor | 1360 Dolwick Drive, Erlanger, KY 41018-3127 | 2013-12-16 |
| 1083035299 | Summit Medical Group, Inc | Emergency Medicine | 2091 N Bend Rd, Hebron, KY 41048-9691 | 2013-12-16 |
| 1578984779 | Summit Medical Group, Inc | Emergency Medicine | 4387 Winston Ave, Covington, KY 41015-1739 | 2013-12-16 |
| 1790042430 | Summit Medical Group, Inc | Clinic/Center | 2626 Alexandria Pike, Highland Heights, KY 41076-1530 | 2012-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SUMMIT MEDICAL GROUP, INC. | 334 Thomas More Pkwy, Ste 160, Edgewood, KY 41017 |
| Street Address |
1360 DOLWICK DRIVE |
| City | ERLANGER |
| State | KY |
| Zip Code | 41018-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932187937 | St Elizabeth Medical Center, Inc | Internal Medicine | 1360 Dolwick Drive, Erlanger, KY 41018 | 2006-01-09 |
| 1285286963 | Theodore Dorow | Pharmacist | 1360 Dolwick Drive, Erlanger, KY 41018 | 2019-07-12 |
| 1073009577 | Hannah Gabrielle Nystrom | Pharmacist | 1360 Dolwick Drive, Erlanger, KY 41018 | 2018-07-09 |
| 1528554573 | Elizabeth Berryman | Pharmacist | 1360 Dolwick Drive, Erlanger, KY 41018 | 2018-07-02 |
| 1265980734 | Jameela Aladimi | Pharmacist | 1360 Dolwick Drive, Erlanger, KY 41018 | 2016-09-14 |
| 1093169922 | Kelsey Ann Marie Villwock | Pharmacist | 1360 Dolwick Drive, Erlanger, KY 41018 | 2016-04-18 |
| 1841658762 | Erica Neff | Pharmacist | 1360 Dolwick Drive, Erlanger, KY 41018 | 2016-02-05 |
| 1366834814 | Leandro Angel Llambi | Pharmacist | 1360 Dolwick Drive, Erlanger, KY 41018 | 2015-02-20 |
| 1508287640 | Summit Medical Group, Inc | Counselor | 1360 Dolwick Drive, Erlanger, KY 41018-3127 | 2013-12-16 |
| 1629342936 | Ann M Blank | Pharmacist | 1360 Dolwick Drive, Erlanger, KY 41018-3159 | 2012-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033619986 | Michael Gale Reeser II | Psychologist | 34 Erlanger Rd., Erlanger, KY 41018 | 2018-02-16 |
| 1255848065 | Orthocincy | Family Medicine | 700 Dolwick Dr, Erlanger, KY 41018 | 2018-01-02 |
| 1518413889 | Kenton Housing, Inc. | Skilled Nursing Facility | 3802 Turkeyfoot Road, Elsmere, KY 41018 | 2016-08-28 |
| 1124459565 | The Therapy Source, Inc. | Occupational Therapist | 600 Rodeo Drive, Erlanger, KY 41018 | 2013-12-11 |
| 1700135282 | Gretchen Nicole Hartzler | Physical Therapist | 1265 Viola Ln, Erlanger, KY 41018 | 2012-08-30 |
| 1851670459 | Elizabeth Ellen Kerl | Occupational Therapy Assistant | 501 Ripple Creek Dr, Elsmere, KY 41018 | 2011-08-12 |
| 1043455132 | Maureen Ann Bensman | Counselor | 510 Graves Ave Ste 206, Erlanger, KY 41018 | 2008-12-03 |
| 1851548952 | Marjorie R Reeves | Registered Nurse | 820 Dolwick Drive, Erlanger, KY 41018 | 2008-08-20 |
| 1063675759 | St Elizabeth Medical Center Inc | Clinic/Center | 4123 Olympic Blvd., Suite 150, Erlanger, KY 41018 | 2008-07-03 |
| 1821278789 | Catherine Kiely | Nurse Practitioner | 3104 Dixie Highway, Erlanger, KY 41018 | 2007-11-08 |
| Find all providers in zip 41018 | ||||
| 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 |
|---|---|---|---|---|
| 1952347759 | Richard James Ohmer | Family Medicine | 650 Sprucewood Ln, Erlanger, KY 41018-1062 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
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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.