Summit Surgical Consultants PC
Organization Active NPI Surgery Physician · Show Low, AZ
NPI 1487625919 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1487625919
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- SUMMIT SURGICAL CONSULTANTS PC
- Practice address
- 5171 Cub Lake Rd
Suite 390
Show Low, AZ 85901-7888 - Phone
- (928) 532-5463
- Fax
- (928) 532-8474
- NPI assigned
- Feb 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Tieman, MD
- Title
- Owner
- Phone
- (928) 532-5463
Practitioners 3
-
Michael Edward Tieman, M.D.
-
Kimberley W Brighton, CRNA
National Provider Directory
Locations
5448 Highway 260
Ste 200
Lakeside, AZ 85929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
5171 Cub Lake Rd
Suite 390
Show Low, AZ 85901-7888
Mailing address
PO Box 1660
Lakeside, AZ 85929-1660
Phone (928) 532-5463
Other providers in Show Low, AZ
- Summit Healthcare Association
- Summit Healthcare Medical Associates
- Summit Healthcare Medical Associates
- Summit Healthcare Medical Associates
- Summit Regional Medical Center
- Sunrise Health and Recovery LLC
- Nancy Sunshine
- Sweet Dreams Anesthesia Inc
- Tall Pines Care and Rehab,Inc
- Laurie Hyatt Tamer
All providers in Show Low, AZ · Surgery Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.