Summit Healthcare Association
Organization Active NPI Rural Acute Care Hospital · Show Low, AZ
NPI 1144209271 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1144209271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Acute Care Hospital 282NR1301X
- License
- H0132 (AZ)
- Legal business name
- SUMMIT HEALTHCARE ASSOCIATION
- Practice address
- 2200 E Show Low Lake Rd
Show Low, AZ 85901-7831 - Phone
- (928) 537-4375
- Fax
- (928) 537-8839
- NPI assigned
- Jan 17, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SUMMIT HEALTHCARE ASSOCIATION
Authorized official
- Name
- David Rothenberger
- Title
- Cfo
- Phone
- (928) 537-6375
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 2
-
Douglas A Wright, DO
Owned or controlled facilities with NPI records 6
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 5
Related certifications (CCN) 1
Practitioners 305
-
Mark Bailey, MD
-
Grant S Berges, MD
-
Benjamin Paul Coleman, D.O.
-
Simranjit Singh Galhotra, MD, MBA
-
Valerie Pratt Israel, D.O.
-
Marilyn P King, FNP
-
Koushik Nag, DO
-
Arun S. Patil, M.D.
-
Upamanyu Rampal, M.D
-
Steven Sckolnik, MD
-
Adhar Seth, MD
-
Basel Shoua, M.D
-
Riyaz A Sumar, MD
-
Hiva Vakil, MD
-
Maureen Mary Wallace, PA-C
-
Douglas A Wright, DO
Affiliated clinicians 331
-
Joshua Abrams, DO
-
Bernadyne Agan, FNP-BC
-
Ahmed Al Dulaimi, MD
-
Abedelrahim Asfour, M.D.
-
Andrew D Atiemo, M.D.
-
Mark Bailey, MD
-
Angela Nicole Bartley, M.D.
-
Pallavi Bellamkonda, M.D.
-
Grant S Berges, MD
-
John F Beshai, MD
-
Shane M Bezzant, M.D.
-
Karan Bhasin, MD
-
Kevin R Bigelow, M.D.
-
Curtis Vance Birdno, PA-C
-
Jerry Lee Bliss Jr., CRNA
Medicare Care Compare: Hospital
- Listed as
- Summit Healthcare Regional Medical Center
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (30 enrollments) in AZ, GA, TN, MD, MI, WA, OH, NC, SC, TX, NY, FL, CA, NV, WI, NJ, CO, OR, UT, AR, IL, NE, ID, MO, DE, PA, MA, IN, VA
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
- Corporation · Non-profit
- Incorporated
- Feb 25, 1976 in AZ
- Enrollment address
- 2200 E Show Low Lake Rd
Show Low, AZ 85901-7831 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Neil Traver |
Corporate Director |
Jan 23, 2020 | |
| Paul Watson |
Corporate Director |
Jan 1, 2003 | |
| Wayne Wielgus |
Corporate Director |
Aug 22, 2024 | |
| David W Rothenberger |
Corporate Officer |
May 30, 2017 | |
| W-2 Managing Employee |
May 30, 2017 | ||
| Dawnafe Whitesinger |
Corporate Director |
Aug 22, 2024 | |
| Becky a Thompson |
Corporate Director |
Sep 2, 2010 | |
| John Corder |
Corporate Director |
Sep 13, 2007 | |
| Douglas a Wright |
Corporate Director |
Feb 6, 2015 | |
| William Comer |
W-2 Managing Employee |
Nov 13, 2023 | |
| Operational/Managerial Control |
Nov 13, 2023 |
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Summit Healthcare Association |
Home health agency | Operational/Managerial Control (100%) | Feb 25, 1976 |
| Summit Healthcare Pediatrics |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Summit Healthcare Family Medicine at Bison Ranch |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Summit Healthcare Family Medicine St Johns |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 23, 2014 |
| Summit Healthcare Snowflake Medical Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Summit Healthcare Family Medicine Snowflake Taylor |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 23, 2014 Apr 23, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040623001125 | AZ | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 122 practitioners 3 other NPIs on this 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 Practice locations: Show Low, AZ |
| O20240325001200 | GA | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 8 practitioners Practice locations: Atlanta, GA |
| O20240506001183 | TN | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 6 practitioners Practice locations: Farragut, TN |
| O20240509002762 | MD | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 5 practitioners Practice locations: Baltimore, MD |
| O20240515001659 | MI | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 2 practitioners Practice locations: Petoskey, MI |
| O20240605002553 | WA | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 2 practitioners Practice locations: Olympia, WA |
| O20240606002344 | OH | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 3 practitioners Practice locations: Columbus, OH |
| O20240611000382 | NC | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 5 practitioners Practice locations: Clemmons, NC |
| O20240619002431 | SC | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 2 practitioners Practice locations: Charleston, SC |
| O20240708003252 | TX | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 5 practitioners Practice locations: Webster, TX |
| O20240726003183 | NY | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 6 practitioners Practice locations: New York, NY |
| O20240812003504 | FL | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 9 practitioners Practice locations: Miami, FL |
| O20240829002171 | CA | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 9 practitioners Practice locations: Irvine, CA |
| O20240906003221 | NV | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 1 practitioner Practice locations: Henderson, NV |
| O20240911000427 | WI | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 1 practitioner Practice locations: Herbster, WI |
| O20240920002143 | NJ | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 2 practitioners Practice locations: Madison, NJ |
| O20241001001030 | CO | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 6 practitioners Practice locations: Centennial, CO |
| O20241008004117 | OR | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 1 practitioner Practice locations: Corvallis, OR |
| O20241106000290 | UT | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 1 practitioner Practice locations: Sandy, UT |
| O20250130000015 | AR | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 1 practitioner Practice locations: Little Rock, AR |
| O20250404002252 | IL | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 2 practitioners Practice locations: Chicago, IL |
| O20250422003580 | NE | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 1 practitioner Practice locations: Omaha, NE |
| O20250627000292 | ID | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 1 practitioner Practice locations: Idaho Falls, ID |
| O20250822000718 | MO | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 2 practitioners Practice locations: Saint Louis, MO |
| O20250829004468 | DE | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 1 practitioner Practice locations: Milton, DE |
| O20250903001960 | PA | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 2 practitioners Practice locations: Philadelphia, PA |
| O20251022000777 | MA | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 1 practitioner Practice locations: Wellesley, MA |
| O20251124002217 | IN | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 1 practitioner Practice locations: Carmel, IN |
| O20260410001935 | VA | Part B Supplier - Clinic/Group Practice | 3779568647 |
Receives reassigned benefits from 1 practitioner Practice locations: Crozet, VA |
National Provider Directory
- Tax ID family
- Robin Dharia MD
- Part of
- Robin Dharia MD
Locations
1401 W Florida St
Holbrook, AZ 86025
Phone (928) 251-0386
5171 S Cub Lake Rd
Ste C330
Show Low, AZ 85901
Phone (480) 550-8767
3401 S White Mountain Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-5437
Interoperability endpoints
- madhubajaj@shrmcshma.allscriptsdirect.net
- simranjitgalhotra@shrmcshma.allscriptsdirect.net
- stevenwhiting@shrmcshma.allscriptsdirect.net
- brandiegriffin@shrmcshma.allscriptsdirect.net
- josepheich@shrmcshma.allscriptsdirect.net
- curtisbirdno@shrmcshma.allscriptsdirect.net
- arunpatil@shrmcshma.allscriptsdirect.net
- lynnbryan@shrmcshma.allscriptsdirect.net
- andrewjones@shrmcshma.allscriptsdirect.net
- courtneymackinnon@shrmcshma.allscriptsdirect.net
- josephpack@shrmcshma.allscriptsdirect.net
- shanesmith@shrmcshma.allscriptsdirect.net
- maggieprice@shrmcshma.allscriptsdirect.net
- davidlazenby@shrmcshma.allscriptsdirect.net
- queziahall@shrmcshma.allscriptsdirect.net
- randalshumway@shrmcshma.allscriptsdirect.net
- lincolnhiatt@shrmcshma.allscriptsdirect.net
- craigbrady@shrmcshma.allscriptsdirect.net
- solomiiasavedchuk@shrmcshma.allscriptsdirect.net
- jasonjohnson@shrmcshma.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
207PE0005X | |||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Clinical Cardiac Electrophysiology Physician |
207RC0001X | |||
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Hematology & Oncology Physician |
207RH0003X | |||
| Interventional Cardiology Physician |
207RI0011X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Neurology Physician |
2084N0400X | |||
| Neurology with Special Qualifications in Child Neurology Physician |
2084N0402X | |||
| Radiation Oncology Physician |
2085R0001X | |||
| Rural Acute Care Hospital | 282NR1301X | H0132 | AZ | Yes |
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Mailing address
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020016 | Medicaid | AZ |
Other names
- Summit Healthcare Regional Medical Center
Other providers in Show Low, AZ
- Patricia Rose Suing
- Stephen Sullman
- Summit Healthcare
- Summit Healthcare Association
- Summit Healthcare Association
- Summit Healthcare Association
- Summit Healthcare Association
- Summit Healthcare Medical Associates
- Summit Healthcare Medical Associates
- Summit Healthcare Medical Associates
All providers in Show Low, AZ · Rural Acute Care Hospital in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.