SUMMIT MEDICAL GROUP INC NPI 1548677636

NPI Information

  • NPI: 1548677636
  • Provider Name: SUMMIT MEDICAL GROUP, INC
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Organization
  • Doing Business As: ST. ELIZABETH PHYSICIANS
  • CLIA Number: 18D2276627
  • Address: 525 ALEXANDRIA PIKE
    STE 230
    SOUTHGATE, KY
    ZIP 41071
  • Phone: (859) 441-4334

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NPI Details

SUMMIT MEDICAL GROUP, INC is a primary podiatric medicine podiatrist in Southgate, KY. SUMMIT MEDICAL GROUP, INC NPI is 1548677636. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Elizabeth Physicians.

The provider's business location address is:

525 ALEXANDRIA PIKE
STE 230
SOUTHGATE, KY
ZIP 41071-290
Phone: (859) 441-4334
Fax: (859) 441-1368

The provider's authorized official is Glenn Loomis .
The authorized official title is Ceo and has the following contact phone number (859) 344-3733.

The CLIA number assigned to this NPI record is 18D2276627 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2014 and was last updated on 7/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristKENTUCKYNo
2213ES0103XPodiatristFoot & Ankle SurgeryKENTUCKYNo
3213EP1101XPodiatristPrimary Podiatric MedicineKENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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