NPI | 1003061243 |
---|---|
Doing Business As | SUMMA HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | WENDY CARSON Manager, Payer Enrollment 234-312-5691 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
207RS0012X Internal Medicine, Sleep Medicine | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
363L00000X Nurse Practitioner | |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
363A00000X Physician Assistant | |
207QS0010X Family Medicine, Sports Medicine | |
364S00000X Clinical Nurse Specialist | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
Enumeration Date | 2008-12-01 |
Last Update Date | 2025-10-10 |