# SUMMIT MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Elizabeth Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164995544
- **Authorized official:** MARIA RANKIN (AVP REVENUE CYCLE)
- **Authorized official phone:** (859) 344-5555

## Contact information

- **Practice address:** 1400 GRAND AVENUE, NEWPORT, KY 41071
- **Practice address phone:** (859) 212-0497
- **Practice address fax:** (859) 441-1575
- **Mailing address:** 1360 DOLWICK DRIVE, ERIANGER, KY 41018
- **Mailing address phone:** (859) 344-5555
- **Mailing address fax:** (859) 344-5552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | NULL | — |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/08/2019
- **Last updated:** 03/24/2025