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Organization
SUMMIT MEDICAL GROUP, INC
Active
Organization
SUMMIT MEDICAL GROUP, INC
Active
Other names
St. Elizabeth Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA RANKIN (AVP REVENUE CYCLE)
(859) 344-5555
Entity
Organization
Contact information
Practice address
1400 GRAND AVENUE, NEWPORT, KY 41071
(859) 212-0497
(859) 441-1575
Mailing address
1360 DOLWICK DRIVE, ERIANGER, KY 41018
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
NULL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/08/2019
Last updated
03/24/2025
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