Organization Active NPI

Summit Maternity Care Center

  • Clinic/Center
  • Port Charlotte, FL
National Provider Identifier
1265043889
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUMMIT MATERNITY CARE CENTER
Practice address
950 Tamiami TRL Unit 101
Port Charlotte, FL 33953-3102
Phone
(941) 264-6084
Fax
(570) 227-2306
NPI assigned
Aug 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Deborah Fuentes, LM, CPMNPI 1730632472
Title
Midwife
Phone
(941) 264-6084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

950 Tamiami TRL Unit 101
Port Charlotte, FL 33953-3102

Mailing address

950 Tamiami TRL Unit 101
Port Charlotte, FL 33953-3102
Phone (941) 264-6084

National Provider Directory

National Provider Directory

Locations

950 Tamiami Trl
Unit 101
Port Charlotte, FL 33953
Phone (941) 249-4915

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1265043889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 TAMIAMI TRL UNIT 101",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339533102",
            "telephone_number": "941-264-6084",
            "fax_number": "570-227-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 TAMIAMI TRL UNIT 101",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339533102",
            "telephone_number": "941-264-6084",
            "fax_number": "570-227-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MATERNITY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "941-264-6084",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.