Summit Footwear, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6000007331 Issued in PA

Legal business name

SUMMIT FOOTWEAR, LLC

Practice address

7520 Peach St
Erie, PA 16509-4762

Phone

(814) 868-2918

Fax

(814) 866-9395

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Arthur Oligeri, III, CPED

Title

Owner

Phone

(814) 868-2918

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra M. Lawrence, C.PED

  • Specialist
  • Erie, PA
  • NPI 1437396603
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1144458597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165094762",
            "telephone_number": "814-868-2918",
            "fax_number": "814-866-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165094762",
            "telephone_number": "814-868-2918",
            "fax_number": "814-866-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT FOOTWEAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "OLIGERI, III",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-868-2918",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000007331",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000007331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy M Sullivan, PA-C
• Nathan Sullivan, LSW
• Dalton Wade Summerhill
• Miranda Renee Summers, MS OTR/L
• Summit Dental Associates, P. C
• Summit Psychiatric Associates PLLC
• Angel F Sunafrank, CRNP
• Kendall Sundberg
• Kristi Holli Chase Sundin, NP C
• Sunrise Counseling

• Durable Medical Equipment & Medical Supplies in Erie, PA
• Providers in Erie, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.