Organization
SUMMIT RADIOLOGY P C
Active
Organization
SUMMIT RADIOLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRAN E EVISTON (CEO)
(260) 469-8229
Entity
Organization
Contact information
Practice address
7221 ENGLE RD STE 220, FORT WAYNE, IN 46804-2233
(260) 432-1568
(260) 432-4969
Mailing address
7221 ENGLE RD STE 220, FORT WAYNE, IN 46804-2233
(260) 432-1568
(260) 432-4969
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246246
—
OH
05
—
100282650
—
IN
01
—
CC0677
MEDICARE RAILROAD
IN
Enumeration date
02/01/2006
Last updated
01/22/2026
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