NPI | 1548433436 |
---|---|
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 | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
103TC0700X Psychologist, Clinical | |
1041C0700X Social Worker, Clinical | |
207X00000X Orthopaedic Surgery | |
363A00000X Physician Assistant | |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
Enumeration Date | 2008-04-11 |
Last Update Date | 2025-10-10 |