Active NPI
Summit Medical Group, Inc
Doing business as St. Elizabeth Physicians
- Family Medicine Physician
- Highland Heights, KY
National Provider Identifier
1790042430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SUMMIT MEDICAL GROUP, INC
- Doing business as
- St. Elizabeth Physicians
- Practice address
- 2626 Alexandria Pike
Highland Heights, KY 41076-1530 - Phone
- (859) 781-4111
- Fax
- (859) 441-5214
- NPI assigned
- Apr 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Rankin
- Title
- Avp-Revenue Cycle
- Phone
- (859) 344-5555
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
2626 Alexandria Pike
Highland Heights, KY 41076-1530
Mailing address
1360 Dolwick Drive
Erlanger, KY 41018
Phone (859) 344-5555
Other names 1
- St. Elizabeth Physicians
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0324598 | St Elizabeth Physicians Highland Heights | Provider-performed microscopy | Aug 31, 2026 |
| 18D2053213 | St Elizabeth Physicians Urgents Care | Certificate of waiver | Jan 27, 2027 |
| 18D2154289 | St Elizabeth Physician Dermatology | Provider-performed microscopy | Sep 10, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593561600000",
"number": "1790042430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 DOLWICK DRIVE",
"city": "ERLANGER",
"state": "KY",
"postal_code": "41018",
"telephone_number": "859-344-5555",
"fax_number": "859-344-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 ALEXANDRIA PIKE",
"city": "HIGHLAND HEIGHTS",
"state": "KY",
"postal_code": "410761530",
"telephone_number": "859-781-4111",
"fax_number": "859-441-5214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-19",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A",
"authorized_official_last_name": "RANKIN",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "AVP-REVENUE CYCLE",
"authorized_official_telephone_number": "859-344-5555"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Elizabeth Physicians",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St. Elizabeth Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Highland Heights, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.