Summit Neuromonitoring LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

44589 Issued in CO

Legal business name

SUMMIT NEUROMONITORING LLC

Practice address

5823 Blue Mountain Cir
Longmont, CO 80503-2710

Phone

(720) 438-9056

NPI assigned

Sep 7, 2015

Organization subpart

No

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

Authorized official

Name

Matthew Gerlach, M.D.

Title

President

Phone

(720) 438-9056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441584000000",
    "number": "1457729501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 BLUE MOUNTAIN CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032710",
            "telephone_number": "720-438-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 BLUE MOUNTAIN CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032710",
            "telephone_number": "720-438-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A",
        "authorized_official_last_name": "GERLACH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-438-9056",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "CO",
            "license": "44589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Suckow, PT, DPT
• Kelley M Sullivan, LCSW
• Paul Richard Sullivan
• Scott Patric Sullivan, M.H.A.,A.T.C, R.K.T.
• Summey Chiropractic P.C.
• Summit Wellness Group Inc
• Mary Sundblom
• Carissa Supry, DC
• Courtney Renae Susser, FNP-C
• Sustained Healing Counseling LLC

• Electroneurodiagnostic Specialist/Technologist in Longmont, CO
• Providers in Longmont, CO by specialty
• Electroneurodiagnostic Specialist/Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; 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.