NPI | 1760627780 |
---|---|
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 | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 208600000X Surgery |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | |
363L00000X Nurse Practitioner | |
363A00000X Physician Assistant | |
367A00000X Advanced Practice Midwife | |
Enumeration Date | 2008-12-04 |
Last Update Date | 2025-10-10 |