# SUMMIT MEDICAL SPECIALISTS PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Summit Obstetrics & Gynecology PSC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861928228
- **Authorized official:** DR. SUZANNE MV RASHIDIAN DO (CO-OWNER)
- **Authorized official phone:** (270) 478-5334

## Contact information

- **Practice address:** 3821 VINCENT STATION DR, OWENSBORO, KY 42303-9315
- **Practice address phone:** (270) 478-5334
- **Practice address fax:** (270) 216-6920
- **Mailing address:** PO BOX 3276, EVANSVILLE, IN 47731-3276
- **Mailing address phone:** (812) 473-0181
- **Mailing address fax:** (812) 473-5822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | 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:** 05/04/2017
- **Last updated:** 04/16/2024