Active NPI
Summa Physicians LLC
- Urgent Care Clinic/Center
- Rootstown, OH
National Provider Identifier
1629274246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- SUMMA PHYSICIANS LLC
- Practice address
- 4211 State Route 44 Ste 110
Rootstown, OH 44272-9698 - Phone
- (234) 837-7536
- NPI assigned
- Jun 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Carson
- Title
- Manager, Payer Enrollment
- Phone
- (234) 312-5691
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
4211 State Route 44 Ste 110
Rootstown, OH 44272-9698
Mailing address
1077 Gorge Blvd
Akron, OH 44310-2408
Phone (234) 312-5873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0455104 | Medicaid | OH |
Other names 1
- Summa Health Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4211 State Route 44
Unit 110
Rootstown, OH 44272
Phone (234) 837-7536
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Akron, OH
- NPI 1386107647
-
- Family Nurse Practitioner
- Stow, OH
- NPI 1386396471
-
- Family Nurse Practitioner
- Ravenna, OH
- NPI 1740994029
-
- Family Nurse Practitioner
- Cleveland, OH
- NPI 1619561685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1629274246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 GORGE BLVD",
"city": "AKRON",
"state": "OH",
"postal_code": "443102408",
"telephone_number": "234-312-5873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 STATE ROUTE 44 STE 110",
"city": "ROOTSTOWN",
"state": "OH",
"postal_code": "442729698",
"telephone_number": "234-837-7536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMA PHYSICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-21",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "CARSON",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "MANAGER, PAYER ENROLLMENT",
"authorized_official_telephone_number": "234-312-5691"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0455104",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Summa Health Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rootstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.