# SUMMIT MEDICAL GROUP

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

## Provider details

- **NPI number:** 1548536568
- **Authorized official:** GLENN LOOMIS (PRESIDENT/CEO)
- **Authorized official phone:** (859) 344-3733

## Contact information

- **Practice address:** 300 COMMERCIAL DR, ALEXANDRIA, KY 41001-2107
- **Practice address phone:** (859) 635-9440
- **Practice address fax:** (859) 448-2622
- **Mailing address:** 2300 CHAMBER CENTER DR, SU. 200, LAKESIDE PARK, KY 41017-1673
- **Mailing address phone:** (859) 344-5555
- **Mailing address fax:** (859) 344-5552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2012
- **Last updated:** 03/23/2012