Summit Medical Group, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3234 Issued in TN

Legal business name

SUMMIT MEDICAL GROUP, PLLC

Doing business as

Summit Medical Group at Tellico

Practice address

202 Dohi Drive
Loudon, TN 37774

Phone

(865) 205-3025

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Ed Curtis

Title

Ceo

Phone

(865) 584-4747

Specialties & licenses 1

Addresses

Other names 1

• Summit Medical Group at Tellico Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Purkey Staudenmaier, DO

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1063767093
  NPD
• Lauren Cheaney Thoma, MD

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1215317391
  NPD

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1700302098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E WEISGARBER RD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 DOHI DRIVE",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "37774",
            "telephone_number": "865-205-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-584-4747"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "3234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Medical Group at Tellico",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• State of Tennessee
• Abigail Lynn Stephens
• Peter Gagnon Stimpson, M.D.
• Susan Stirewalt, MA, LPC-MHSP, NCC
• Laura Stockton
• Julie Ann Sznajder, PTA
• Tennessee Cancer Specialists PLLC
• Therapy Shoppe
• Megan Kimber Thibert, COTA/L
• Jessica Alicia Tracy

• Internal Medicine Physician in Loudon, TN
• Providers in Loudon, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.