Organization Active NPI

Summerside Health PLLC

  • Cardiovascular Disease Physician
  • Bullhead City, AZ
National Provider Identifier
1376295501
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SUMMERSIDE HEALTH PLLC
Practice address
1555 Ramar Rd
Bullhead City, AZ 86442-6010
Phone
(702) 960-6930
NPI assigned
Jan 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Dr. Jonathan Kwan Rhee, MD
Title
President
Phone
(312) 859-9392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1555 Ramar Rd
Bullhead City, AZ 86442-6010

Mailing address

9225 Tudor Park PL
Las Vegas, NV 89145-8726
Phone (312) 859-9392

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1376295501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 TUDOR PARK PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458726",
            "telephone_number": "312-859-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 RAMAR RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426010",
            "telephone_number": "702-960-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERSIDE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "RHEE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "KWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-859-9392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.