Summit Medical Center Inc

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

0013 Issued in CT

Legal business name

SUMMIT MEDICAL CENTER INC

Practice address

360 Market St
Hartford, CT 06120-2901

Phone

(860) 493-6575

Fax

(860) 493-6583

NPI assigned

Aug 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janie Umbricht

Title

Insurance Service Director

Phone

(203) 259-8782

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427067578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 UNQUOWA RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245096",
            "telephone_number": "203-259-8782",
            "fax_number": "203-259-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MARKET ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061202901",
            "telephone_number": "860-493-6575",
            "fax_number": "860-493-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UMBRICHT",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "INSURANCE SERVICE DIRECTOR",
        "authorized_official_telephone_number": "203-259-8782"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CT",
            "license": "0013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "AETNA",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "A394805",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OV6680",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "992953",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Sullivan
• Luke James Sullivan, MD
• Raymond J Sullivan, MD
• Elizabeth A Summa, LCSW
• Maria A Summa, PHARMD
• Sara L Sumner, LCSW
• Sunflower Counseling, LLC
• Mary Suozzi, LCSW
• Supportive Psych Services LLC
• Maguedalena Manoucheka Supreme

• Gynecology Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Gynecology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.