NPI | 1679742480 |
---|---|
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 | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
207RI0011X Internal Medicine, Interventional Cardiology | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
364S00000X Clinical Nurse Specialist | |
Enumeration Date | 2008-02-26 |
Last Update Date | 2024-10-29 |