Organization Active NPI

Summit Neurology P.C.

  • Medical Specialty Clinic/Center
  • Vail, CO
National Provider Identifier
1437589363
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0052878 Issued in CO
Legal business name
SUMMIT NEUROLOGY P.C.
Practice address
3971 Big Horn Rd
Suite 7DD
Vail, CO 81657-4783
Phone
(970) 477-0700
Fax
(970) 777-5161
NPI assigned
Nov 13, 2013
Last updated
Nov 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Mark Pithan, M.D.
Title
President
Phone
(970) 477-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0052878 CO Primary

Addresses

Primary practice location

3971 Big Horn Rd
Suite 7DD
Vail, CO 81657-4783

Mailing address

PO Box 3727
Eagle, CO 81631-3727
Phone (970) 477-0700

National Provider Directory

National Provider Directory

Locations

2520 Grand Ave
Ste 204
Glenwood Springs, CO 81601
Phone (970) 477-0700

3971 Bighorn Rd
Unit 7DD
Vail, CO 81657
Phone (970) 477-0700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1437589363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3727",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816313727",
            "telephone_number": "970-477-0700",
            "fax_number": "970-777-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3971 BIG HORN RD",
            "address_2": "SUITE 7DD",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816574783",
            "telephone_number": "970-477-0700",
            "fax_number": "970-777-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT NEUROLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "PITHAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-477-0700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "0052878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.