Summit Allergy Inc

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

01055513A Issued in IN

Legal business name

SUMMIT ALLERGY INC

Practice address

7030 Pointe Inverness Way Ste 335
Fort Wayne, IN 46804-7929

Phone

(260) 969-0801

Fax

(260) 969-0802

NPI assigned

Feb 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Isbister, M.D.

Title

Owner

Phone

(260) 969-0801

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1407096167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 POINTE INVERNESS WAY STE 335",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047929",
            "telephone_number": "260-969-0801",
            "fax_number": "260-969-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 POINTE INVERNESS WAY STE 335",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047929",
            "telephone_number": "260-969-0801",
            "fax_number": "260-969-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ALLERGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "ISBISTER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-969-0801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "01055513A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200950470A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS PIN",
            "identifier": "000000600333",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Louise Sullivan
• Sara Lynn Sullivan
• Steve Edward Sullivan, DPT
• Todd Michael Sullivan, MPT
• Wendy Sullivan
• Summit Anesthesia, LLC
• Summit BHC Ft Wayne LLC (Northern Path Recovery Center)
• Summit City Health Clinic
• Summit City Physical Medicine LLC
• Summit City Prosthetics & Orthotics Inc

• Allergy & Immunology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Allergy & Immunology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.