Organization
SUMMIT MEDICAL GROUP, INC
Active
Other names
St. Elizabeth Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA RANKIN (AVP-REVENUE CYCLE)
(859) 344-5555
Entity
Organization
Contact information
Practice address
1360 DOLWICK DRIVE, ERLANGER, KY 41018-3127
(859) 344-5555
(859) 344-5552
Mailing address
1360 DOLWICK DRIVE, ERLANGER, KY 41018-3127
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133V00000X
Registered Dietitian
—
—
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200993310
—
IN
05
—
201152300
—
IN
05
—
201157570
—
IN
05
—
2355115
—
OH
05
—
2501152300
—
IN
05
—
65926743
—
KY
05
—
7100018930
—
KY
05
—
7100235400
—
KY
05
—
7100235410
—
KY
05
—
7100271890
—
KY
05
—
7100311260
—
KY
05
—
78003852
—
KY
05
—
78902020
—
KY
01
—
CC3684
RAILROAD
KY
01
—
DQ9133
RAILROAD
OH
01
—
DR8623
RAILROAD
IN
Enumeration date
04/03/2006
Last updated
09/08/2020
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