Summit Surgical, LLC
Organization Active NPI Neurological Surgery Physician · Hutchinson, KS
NPI 1306658703 · NPPES record last updated Feb 9, 2026
Key facts
- NPI
- 1306658703
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- Legal business name
- SUMMIT SURGICAL, LLC
- Practice address
- 1818 E 23Rd Ave
Hutchinson, KS 67502-1106 - Phone
- (620) 662-6000
- Fax
- (620) 663-4803
- NPI assigned
- Jan 22, 2025
- Organization subpart
- No
Authorized official
- Name
- Carrie Sue Baxter
- Title
- Director of Operations
- Phone
- (620) 662-6000
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Practitioners 10
-
Brian Fleeman, CRNA
-
Brittny Nicole Patterson, PMHNP
-
Douglas K Dunn, PT
-
Benjamin Davies Young, M.D.
-
Ann Hentzen Page, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110712000729 | KS | Part B Supplier - Clinic/Group Practice | 5193731610 |
Receives reassigned benefits from 7 practitioners 2 other NPIs on this enrollment Practice locations: Hutchinson, KS; Sterling, KS |
National Provider Directory
- Tax ID family
- Summit Surgical LLC
Locations
125 W Cooper St
Sterling, KS 67579
Phone (620) 278-4259
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | Yes | ||
| Surgical Physician Assistant |
363AS0400X | |||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
1818 E 23Rd Ave
Hutchinson, KS 67502-1106
Mailing address
1818 E 23Rd Ave
Hutchinson, KS 67502-1106
Phone (620) 662-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003877950004 | Medicaid | KS |
Other providers in Hutchinson, KS
- Sullico, L.L.C
- Summit Healthcare, LLC
- Summit Surgical Anesthesia LLC
- Summit Surgical LLC
- Summit Surgical, LLC
- Summit Surgical, LLC
- Sunflower Mental Wellness, LLC
- Sharon Lynn Surface
- Susan K. Evans, DDS, PA.
- Susan K. Evans, DDS, PA.
All providers in Hutchinson, KS · Neurological Surgery Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.