NPIMap

Organization Active NPI

Summit Healthcare Association

Doing business as Summit Healthcare Oncology Center

  • Oncology Clinic/Center
  • Show Low, AZ
National Provider Identifier
1083736128
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
3376 Issued in AZ
Legal business name
SUMMIT HEALTHCARE ASSOCIATION
Doing business as
Summit Healthcare Oncology Center
Practice address
2500 E Hunt Dr Ste H-J
Show Low, AZ 85901-7954
Phone
(928) 537-6937
NPI assigned
Apr 6, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT HEALTHCARE ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
William Gardner
Title
Ceo
Phone
(928) 537-6399

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X 3376 AZ Primary
Radiation Oncology Clinic/Center 261QX0203X 3376 AZ

Addresses

Primary practice location

2500 E Hunt Dr Ste H-J
Show Low, AZ 85901-7954

Mailing address

2500 E Hunt Dr Ste H-J
Show Low, AZ 85901-7954
Phone (928) 537-6937

Other identifiers 1

IdentifierTypeStateIssuer
020016MedicaidAZ

Other names 1

  • Summit Healthcare Oncology Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040623001125 AZ Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 122 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Show Low, AZ; Snowflake, AZ; Scottsdale, AZ; Phoenix, AZ
O20090224000296 AZ Part A Provider - Hospital 3779568647 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Show Low, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083736128. Details of each certification follow.

Hospital certification: CCN 030062

Legal name
SUMMIT HEALTHCARE ASSOCIATION
Doing business as
SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 14, 1970
Last certification
Jul 29, 2024
Beds
101
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 25, 1976 in AZ
Enrollment address
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Summit Healthcare Regional Medical CenterCCN 030062 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Danielle Haskins MD

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Locations

218 W White Mountain Blvd
Ste A
Lakeside, AZ 85929
Phone (928) 367-5777

4830 Highway 260
Lakeside, AZ 85929
Phone (928) 537-8777

1500 S White Mountain Rd
Ste 330
Show Low, AZ 85901

2051 Evergreen Ln
Ste 8
Show Low, AZ 85901

2051 Evergreen Ln
Ste B
Show Low, AZ 85901
Phone (928) 537-1042

2220 E Show Low LK Rd
Show Low, AZ 85901

4951 S White Mountain Rd
#B
Show Low, AZ 85901

5171 S Cub Lake Rd
Ste 270
Show Low, AZ 85901
Phone (928) 532-1220

5171 S Cub Lake Rd
Ste B270
Show Low, AZ 85901
Phone (928) 532-1220

5171 S Cub Lake Rd
Ste B280
Show Low, AZ 85901
Phone (928) 532-7719

5300 S Sutter Dr
Ste 1
Show Low, AZ 85901
Phone (928) 532-7546

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Neil Traver Individual Corporate DirectorBoard Member Jan 23, 2020
Paul Watson Individual Corporate DirectorBoard Member Jan 1, 2003
Wayne Wielgus Individual Corporate DirectorBoard Member Aug 22, 2024
David W Rothenberger Individual Corporate OfficerChief Financial Officer May 30, 2017
W-2 Managing EmployeeChief Financial Officer May 30, 2017
Dawnafe Whitesinger Individual Corporate DirectorBoard Member Aug 22, 2024
Becky a Thompson Individual Corporate DirectorBoard Member Sep 2, 2010
John Corder Individual Corporate DirectorBoard Member Sep 13, 2007
Douglas a Wright Individual Corporate DirectorBoard Member Feb 6, 2015
William Comer Individual W-2 Managing EmployeeChief Executive Officer Nov 13, 2023
Operational/Managerial ControlChief Executive Officer Nov 13, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 106

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 106

Affiliated clinicians 331

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 331

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1083736128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HUNT DR STE H-J",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017954",
            "telephone_number": "928-537-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HUNT DR STE H-J",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017954",
            "telephone_number": "928-537-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTHCARE ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT HEALTHCARE ASSOCIATION",
        "enumeration_date": "2007-04-06",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-537-6399"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "AZ",
            "license": "3376",
            "primary": true
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "AZ",
            "license": "3376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020016",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Healthcare Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.