Organization Active NPI

Summit Urology, Inc

  • Specialist
  • Middletown, OH
National Provider Identifier
1447302641
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SUMMIT UROLOGY, INC
Practice address
1064 Summitt SQ
Middletown, OH 45042-3400
Phone
(513) 423-2244
Fax
(513) 423-2004
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David C Miller, MD
Title
President
Phone
(513) 423-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1064 Summitt SQ
Middletown, OH 45042-3400

Mailing address

1064 Summitt SQ
Middletown, OH 45042-3400
Phone (513) 423-2244

Other identifiers 1

IdentifierTypeStateIssuer
2017329MedicaidOH

National Provider Directory

National Provider Directory

Locations

1064 Summit Dr
Middletown, OH 45042
Phone (513) 318-7022

Practitioners & affiliated clinicians

Practitioners 1

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447302641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 SUMMITT SQ",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423400",
            "telephone_number": "513-423-2244",
            "fax_number": "513-423-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 SUMMITT SQ",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423400",
            "telephone_number": "513-423-2244",
            "fax_number": "513-423-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT UROLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-423-2244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017329",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • 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.