Summit MD LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

SUMMIT MD LLC

Practice address

7310 N 16TH St Ste 100
Phoenix, AZ 85020-5259

Phone

(602) 535-8255

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Andrew Lenick

Title

President

Phone

(602) 535-8255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1700544848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 N 16TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205259",
            "telephone_number": "602-535-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 N 16TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205259",
            "telephone_number": "602-535-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "LENICK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-535-8255"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Home Health LLC (Summit Home Health)
• Summit Home Wellness LLC
• Summit Institute of Illinois LLC
• Summit Institute of Indiana LLC
• Summit Institute of North Carolina LLC
• Summit Mental Health & Wellness PLLC
• Summit Pediatric Anesthesia PLLC
• Summit Pharmacy Inc (TrustRx Pharmacy)
• Summit Physician Group LLC
• Summit Speech, LLC

• Primary Care Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.