Summit Podiatry Group PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SUMMIT PODIATRY GROUP PC

Practice address

2797 Spring Arbor Road
Suite a
Jackson, MI 49203

Phone

(517) 784-0900

Fax

(517) 784-7835

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kristi J Ledbetter, DPMNPI 1710959127

Title

Vice President

Phone

(517) 784-0900

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Kristi J Ledbetter, DPM

  • Podiatrist
  • Jackson, MI
  • NPI 1710959127
  Medicare reassignment Care Compare group NPD Authorized official
• Vaishnavi Sekar Bawa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jackson, MI
  • NPI 1619317310
  Medicare reassignment Care Compare group NPD
• Mathew Alan Page, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jackson, MI
  • NPI 1710002886
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1295825099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 SPRING ARBOR ROAD",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49203",
            "telephone_number": "517-784-0900",
            "fax_number": "517-784-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 SPRING ARBOR ROAD",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49203",
            "telephone_number": "517-784-0900",
            "fax_number": "517-784-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PODIATRY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "517-784-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0380060001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Sean Sugden, NP
• Iman Suleiman, MD
• Benjamin Sulka, DO
• Ryan Sean Sullivan, DO
• Summit Chiropractic Clinic LLC
• Summit Pointe Dental Group PLLC
• Arathy Sunil Kumar, RPH
• Sunset Wellness and Nutrition LLC
• Superior Transitional Care PLLC
• Surgical Services of Michigan, LLC

• Foot & Ankle Surgery Podiatrist in Jackson, MI
• Providers in Jackson, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.