Summit Primary Care

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD10309 Issued in TN

Legal business name

SUMMIT PRIMARY CARE

Doing business as

Robert B Gaston Jr MD

Practice address

3939 Central Pike
Hermitage, TN 37076-3410

Phone

(615) 883-2331

Fax

(615) 391-1785

NPI assigned

Jun 20, 2006

Last updated

Apr 15, 2008By 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

William Dugan

Title

Administrator

Phone

(615) 391-1515

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ROBERT B GASTON JR MD Doing business as

Practitioners 1

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.

• Michael Warren, PA

  • Medical Physician Assistant
  • Murfreesboro, TN
  • NPI 1023340809
  NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1740225887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 CENTRAL PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763410",
            "telephone_number": "615-883-2331",
            "fax_number": "615-391-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 CENTRAL PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763410",
            "telephone_number": "615-883-2331",
            "fax_number": "615-391-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-391-1515"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "TN",
            "license": "MD10309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3176920",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4439370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT B GASTON JR MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Summit Health & Rehab Services, Inc (Belvedere Commons of Hermitage)
• Summit Medical Associates PC
• Summit Medical Group, PLLC (Hermitage Primary Care, a division of Summit Medical Group)
• Summit Obstetrics and Women's Health, PLLC
• Summit Primary Care
• Summit Sleep and Lung Associates, P.C.
• Summit Surgery Center LP
• Suncrest Outpatient Rehab Services of TN, LLC (SunCrest Rehab Services)
• Sunshine Therapy Solutions, Corp.
• Lee Swiderek, MD

• Non-Pharmacy Dispensing Site in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Non-Pharmacy Dispensing Site in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.