# SUMMIT MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1215770375
- **Authorized official:** MARIA RANKIN (AVP- REVENUE CYCLE)
- **Authorized official phone:** (859) 344-5555

## Contact information

- **Practice address:** 1035 WEST MAIN STREET, VEVAY, IN 47043-9126
- **Practice address phone:** (812) 496-8786
- **Mailing address:** 1360 DOLWICK DRIVE, ERLANGER, KY 41018-3127
- **Mailing address phone:** (859) 344-5555
- **Mailing address fax:** (859) 344-5552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080S0010X | Pediatric Sports Medicine Physician | — | NULL | — |
| 2080S0010X | Pediatric Sports Medicine Physician | — | — | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | NULL | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/17/2024
- **Last updated:** 06/10/2025