Summit Internal Medicine, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUMMIT INTERNAL MEDICINE, INC.

Practice address

6179 S Balsam Way Ste 210
Littleton, CO 80123-3093

Phone

(303) 347-2000

Fax

(720) 974-2197

NPI assigned

Dec 20, 2017

Organization subpart

No

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

Authorized official

Name

Jared Davis, MDNPI 1891938684

Title

Physician

Phone

(785) 979-7790

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jared Davis, M.D.

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1891938684
  Authorized official Same address or phone

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1245746635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6179 S BALSAM WAY STE 210",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233093",
            "telephone_number": "303-347-2000",
            "fax_number": "303-974-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6179 S BALSAM WAY STE 210",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233093",
            "telephone_number": "303-347-2000",
            "fax_number": "720-974-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "785-979-7790",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23775556",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Sullivan
• Summit Adult Day & Wellness, LLC
• Summit Adult Day and Wellness
• Summit Anesthesia
• Summit Family Medicine Inc
• Summit Neuropsychological Services (Horizon Neuropsychological Services)
• Summit Rheumatology and Arthritis -Colorado PLLC
• Summit View Surgery Center, L.L.C.
• Summit View Surgery Center, LLC
• Sun Valley Assisted Living LLC

• Primary Care Clinic/Center in Littleton, CO
• Providers in Littleton, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.