NPIMap

Organization Active NPI

Summit Healthcare Medical Associates

  • Pain Medicine Physician
  • Show Low, AZ
National Provider Identifier
1659807261
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Practice address
1500 S White Mountain Rd
Suite 300
Show Low, AZ 85901-7111
Phone
(928) 532-1605
Fax
(928) 532-9581
NPI assigned
May 3, 2017
Last updated
May 3, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT HEALTHCARE ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Chance M Cherry
Title
Office Manager-Pain Clinic
Phone
(928) 532-1605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X AZ Primary

Addresses

Primary practice location

1500 S White Mountain Rd
Suite 300
Show Low, AZ 85901-7111

Mailing address

1500 S White Mountain Rd
Suite 300
Show Low, AZ 85901-7111
Phone (928) 532-1605

Other names 1

  • Summit Healthcare Association Other name

National Provider Directory

National Provider Directory
Tax ID family
Summit Healthcare Medical Associates9 organizations share this tax ID, including this one
Part of
Summit Healthcare Assoc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1659807261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S WHITE MOUNTAIN RD",
            "address_2": "SUITE 300",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017111",
            "telephone_number": "928-532-1605",
            "fax_number": "928-532-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S WHITE MOUNTAIN RD",
            "address_2": "SUITE 300",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017111",
            "telephone_number": "928-532-1605",
            "fax_number": "928-532-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTHCARE MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT HEALTHCARE ASSOCIATION",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "CHANCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER-PAIN CLINIC",
        "authorized_official_telephone_number": "928-532-1605"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Healthcare Association",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.