Summit Medical Group

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SUMMIT MEDICAL GROUP

Practice address

340 Thomas More Pkwy
Su. 160a
Crestview Hills, KY 41017-5100

Phone

(859) 334-6466

Fax

(859) 344-7930

NPI assigned

Apr 3, 2012

Organization subpart

No

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

Authorized official

Name

Glenn Loomis

Title

President/Ceo

Phone

(859) 344-3733

Specialties & licenses 2

Addresses

Other names 1

• St. Elizabeth Physicians Doing business as

Member organizations 1

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

• Hooper Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Walton, KY
  • NPI 1477009280

  Member Of

  NPD member

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1164788261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CHAMBER CENTER DR",
            "address_2": "SU. 200",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410171673",
            "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": "340 THOMAS MORE PKWY",
            "address_2": "SU. 160A",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175100",
            "telephone_number": "859-334-6466",
            "fax_number": "859-344-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "859-344-3733"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Elizabeth Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Strivemd Wellness & Ketamine PLLC
• Lisa M. Stroud, CNP
• Amy Strouse, APRN
• Holly Nicole Sullivan, FNP-C
• Lauren Marie Sullivan, FNP
• Summit Medical Group
• Summit Medical Group, Inc.
• Summit Medical Group, Inc.
• Kelly Renee Sun, DO
• Carol Joan Swarts, MD

• Gastroenterology Physician in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Gastroenterology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.