NPIMap

Organization Active NPI

Summit Medical Group, Inc.

Doing business as St. Elizabeth Physicians

  • Foot & Ankle Surgery Podiatrist
  • Union, KY
National Provider Identifier
1063349330
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SUMMIT MEDICAL GROUP, INC.
Doing business as
St. Elizabeth Physicians
Practice address
605 Man O War Boulevard
Union, KY 41091-2007
Phone
(859) 212-0175
Fax
(859) 331-0325
NPI assigned
May 8, 2026
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria Rankin
Title
Avp-Revenue Cycle
Phone
(859) 655-2583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

605 Man O War Boulevard
Union, KY 41091-2007

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555

Other names 1

  • St. Elizabeth Physicians Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2328663St Elizabeth Physicians605 Man O War Boulevard, Union, KY 41091Provider-performed microscopyAug 13, 2027
18D2329856St Elizabeth's Physicians Women's Health605 Man O'War Blvd, Union, KY 41091Provider-performed microscopySep 6, 2027
18D2331965St Elizabeth Physicians Richwood Urgent Care605 Man O War Boulevard, Union, KY 41091Provider-performed microscopyOct 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Summit Medical Group Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1063349330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-344-5555",
            "fax_number": "859-344-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MAN O WAR BOULEVARD",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410912007",
            "telephone_number": "859-212-0175",
            "fax_number": "859-331-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "AVP-REVENUE CYCLE",
        "authorized_official_telephone_number": "859-655-2583"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Elizabeth Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.