Summit Podiatry Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

116 Issued in NC

Legal business name

SUMMIT PODIATRY INC

Practice address

4113 Oleander Dr
Suite G
Wilmington, NC 28403-6839

Phone

(910) 791-1300

Fax

(791) 791-4125

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul R Glaser, DPM

Title

DPM Owner

Phone

(910) 791-1300

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1275659849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 OLEANDER DR",
            "address_2": "SUITE G",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036839",
            "telephone_number": "910-791-1300",
            "fax_number": "910-791-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 OLEANDER DR",
            "address_2": "SUITE G",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036839",
            "telephone_number": "910-791-1300",
            "fax_number": "791-791-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DPM OWNER",
        "authorized_official_telephone_number": "910-791-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "23656",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480922078",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2728879",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890802R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0071418-99",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY WORKERS COMP",
            "identifier": "P02480-31",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "004264925",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0802R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH UHC",
            "identifier": "1659398",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berta Jane Summers, PHD
• Elizabeth Summey, NP
• Summit Cosmetic Surgery Center
• Summit Cosmetic Surgery Center,PA
• Summit Plastic Surgery & Dermatology, PLLC
• Alicia Sumner
• Francine H. Sumpter, C-AUD
• Danielle Sundlov, MS, OTR/L
• Sunlight Medical Clinic PLLC
• Sunrise Counseling and Wellness, PLLC

• Podiatrist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.