# SUMMIT MEDICAL GROUP, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1790042430
- **Authorized official:** MARIA RANKIN (AVP-REVENUE CYCLE)
- **Authorized official phone:** (859) 344-5555

## Contact information

- **Practice address:** 2626 ALEXANDRIA PIKE, HIGHLAND HEIGHTS, KY 41076-1530
- **Practice address phone:** (859) 781-4111
- **Practice address fax:** (859) 441-5214
- **Mailing address:** 1360 DOLWICK DRIVE, ERLANGER, KY 41018
- **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 |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/19/2012
- **Last updated:** 07/01/2020