Organization
SUMMIT MEDICAL GROUP
Active
Parent organization
SUMMIT MEDICAL GROUP
Other names
dba Patient First Digestive Disease Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT MEDICAL GROUP
Authorized official
JEFF BERTE (C.O.O.)
(859) 957-1080
Entity
Organization
Contact information
Practice address
340 THOMAS MORE PKWY, SUITE 160 B, CRESTVIEW HILLS, KY 41017-5100
(859) 331-6466
(859) 331-1932
Mailing address
334 THOMAS MORE PKWY, SUITE 200, CRESTVIEW HILLS, KY 41017-3464
(859) 344-5481
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
300131
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100123490
—
KY
01
—
P00815268
RAILRAOD MEDICARE
—
Enumeration date
02/03/2010
Last updated
08/17/2010
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