Organization
SUMMIT PROVIDERS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GOLDMAN (CEO)
(480) 335-2859
Entity
Organization
Contact information
Practice address
14919 E CAVEDALE DR, SCOTTSDALE, AZ 85262-7899
(480) 335-2859
Mailing address
PO BOX 6134, CHANDLER, AZ 85246-6134
(480) 335-2859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
06/26/2025
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