Summit Medical Group in Providence - Primary Care
Summit Medical Group - NPI 1235275207
Summit Medical Group is a Primary Care in Providence, Rhode Island. Summit Medical Group practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Summit Medical Group is 1235275207. The last update date is 2020-08-22.
Summit Medical Group's current location address is 100 Highland Ave Ste 307, Providence, Rhode Island. You can contact this provider via phone number 4013315320 and fax number 4013316168. The mailing address for Summit Medical Group is 100 Highland Ave Ste 307, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Summit Medical Group |
|---|---|
| Address | 100 Highland Ave Ste 307, Providence, Rhode Island |
| Phone Number | 4013315320 |
| Fax Number | 4013316168 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Kerzner Stuart Marvin |
| Credentials | MD |
| Telephone Number | 4013315320 |
NPI Number Detail
| NPI Number | 1235275207 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 100 Highland Ave Ste 307 |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29062753 |
| Phone Number | 4013315320 |
| Fax Number | 4013316168 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | RI3593 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 847-1 | RI | BLUE CROSS | |
| 9000847 | RI | -- | |
| 2059883 | RI | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Summit Medical Group by the Centers for Medicare & Medicaid Services?
The Summit Medical Group has been issued the NPI (National Provider Identifier) 1235275207, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Summit Medical Group is physically located?
The Summit Medical Group is physically situated at the following address: 100 Highland Ave Ste 307, Providence, RI, 29062753.
What is the Summit Medical Group's specialty and taxonomy code?
The Summit Medical Group's specialty is Primary Care, and the corresponding taxonomy code is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1235275207 to Summit Medical Group?
The Centers for Medicare & Medicaid Services assigned the 1235275207 to Summit Medical Group on 2007-01-29.
When was the information regarding Summit Medical Group most recently updated?
The details pertaining to the Summit Medical Group, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.