Internal Medicine of Summit, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD16944 Issued in TN

Legal business name

INTERNAL MEDICINE OF SUMMIT, P.C.

Practice address

5651 Frist Blvd
Suite 416
Hermitage, TN 37076-2054

Phone

(615) 346-6000

NPI assigned

Jun 9, 2006

Last updated

Jul 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abdul Enayat, M.D.

Title

President

Phone

(615) 346-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Martin Henry Wagner, M.D.

  • Neurology Physician
  • Hermitage, TN
  • NPI 1538172077
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1144261504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 416",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762054",
            "telephone_number": "615-346-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 416",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762054",
            "telephone_number": "615-346-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF SUMMIT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "ENAYAT",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-346-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD16944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Solutions LLC (Foot Solutions)
• Insight to Ability Speech Therapy, LLC (Hermitage Therapy & Learning Center)
• Insight Vision Center LLC
• Intellicare
• John W Interlandi, MD
• Jessica Ivy, MS, RD, LDN
• Lisa M Jabusch, M.D.
• Latresa Jackson, DMD
• Danielle Elizabeth Jacobs, PHYSICAL THERAPIST
• Marjorie James

• Internal Medicine Physician in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.