Summit Healthcare PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SUMMIT HEALTHCARE PLLC

Doing business as

Summit Health Urgent Care

Practice address

2900 Denton Hwy
Haltom City, TX 76117-3763

Phone

(817) 420-6009

Fax

(817) 420-6015

NPI assigned

Nov 19, 2024

Last updated

Nov 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Louis Graham, FNP, ENPNPI 1134779838

Title

Owner

Phone

(817) 420-6009

Specialties & licenses 1

Addresses

Other names 1

• Summit Health Urgent Care Doing business as

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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Louis Graham, FNP, ENP

  • Nurse Practitioner
  • Haltom City, TX
  • NPI 1134779838
  NPD Authorized official
• Stevi Dahl

  • Family Nurse Practitioner
  • Mineral Wells, TX
  • NPI 1659199644
  NPD
• Madeline Ann Maas

  • Nurse Practitioner
  • Haltom City, TX
  • NPI 1699640045
  NPD
• Khuong Dinh Phan, D.O.

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1033119540
  NPD (past)

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1740005362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DENTON HWY",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761173763",
            "telephone_number": "817-420-6009",
            "fax_number": "817-420-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DENTON HWY",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761173763",
            "telephone_number": "817-420-6009",
            "fax_number": "817-420-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-420-6009",
        "authorized_official_credential": "FNP, ENP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Health Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tierra Smith, B.A.
• Chelsea Marie Smithley, LPC
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• Jamilah Sumaray, RPT
• Tanglewood Medical Supplies, Inc.
• Rodrigue Tchakounte, RPH
• David Teran Chavez, PA
• Texas Fmsa Inc (Newstart FMSA, Inc.)
• Texas Fmsa Inc

• Family Nurse Practitioner in Haltom City, TX
• Providers in Haltom City, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.