Organization Active NPI

Summit Physicians Group PLLC

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1275805491
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X
Legal business name
SUMMIT PHYSICIANS GROUP PLLC
Practice address
8560 N Silvery LN
Suite 202
Dearborn Heights, MI 48127-4515
Phone
(313) 581-3255
Fax
(313) 581-3755
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Mrs. Allie Galovich, CPC
Title
Biller
Phone
(248) 593-9780

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RM1200X Primary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X

Addresses

Primary practice location

8560 N Silvery LN
Suite 202
Dearborn Heights, MI 48127-4515

Mailing address

8560 N Silvery LN
Suite 202
Dearborn Heights, MI 48127-4515
Phone (313) 581-3255

National Provider Directory

National Provider Directory

Locations

20966 Dequindre Rd
Warren, MI 48091
Phone (586) 755-6542

33000 Annapolis St
Ste 120
Wayne, MI 48184
Phone (313) 721-8785

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1275805491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 N SILVERY LN",
            "address_2": "SUITE 202",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274515",
            "telephone_number": "313-581-3255",
            "fax_number": "313-581-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 N SILVERY LN",
            "address_2": "SUITE 202",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274515",
            "telephone_number": "313-581-3255",
            "fax_number": "313-581-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICIANS GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "GALOVICH",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "248-593-9780",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RM1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.