Summit City Health Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUMMIT CITY HEALTH CLINIC

Practice address

1355 Getz Rd Ste D
Fort Wayne, IN 46804-1609

Phone

(260) 212-1902

Fax

(260) 222-2827

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Sudhakar Sanathana Krishnan

Title

Manager

Phone

(260) 212-1902

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi K. Lang, D.O.

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1699741561
  NPD (past)

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1437624632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 GETZ RD STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041609",
            "telephone_number": "260-212-1902",
            "fax_number": "260-222-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 GETZ RD STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041609",
            "telephone_number": "260-212-1902",
            "fax_number": "260-222-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CITY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_middle_name": "SANATHANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "260-212-1902"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Michael Sullivan, MPT
• Wendy Sullivan
• Summit Allergy Inc
• Summit Anesthesia, LLC
• Summit BHC Ft Wayne LLC
• Summit City Physical Medicine LLC
• Summit City Prosthetics & Orthotics Inc
• Summit City Smiles
• Summit Counseling and Coaching LLC
• Summit Dental Group PC

• Primary Care Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.