Surmounting LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SURMOUNTING LLC

Practice address

12866 Fort St
Southgate, MI 48195-1060

Phone

(734) 720-7920

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Ingrid LewisNPI 1639660046

Title

Authorized Official

Phone

(313) 930-0258

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Ingrid Lewis, FNP

  • Nurse Practitioner
  • Southgate, MI
  • NPI 1639660046
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1861249815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20831 RIDGEMONT RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251137",
            "telephone_number": "313-930-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12866 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951060",
            "telephone_number": "734-720-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURMOUNTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "313-930-0258"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Styles
• Jennifer Rae Sudak
• Sadera Iman Sumpter-Steger
• Sheila Sungurlu, M.D.
• Noelle Kimberly-Nicole Sunkad, MSW
• Maria Lynn Sutka
• Suzy Peper Counseling Services LLC
• SVS Vision Inc
• Amanda Swan
• Sarah Swan

• Family Medicine Physician in Southgate, MI
• Providers in Southgate, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.