Summa Physicians LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SUMMA PHYSICIANS LLC

Practice address

500 Portage Lakes Dr Ste a
Coventry Township, OH 44319-2299

Phone

(330) 375-7055

NPI assigned

Jun 5, 2006

Organization subpart

No

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

Authorized official

Name

Wendy Carson

Title

Manager, Payer Enrollment

Phone

(234) 312-5691

Specialties & licenses 1

Addresses

Other names 1

• Summa Health Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1891734166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 GORGE BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443102408",
            "telephone_number": "234-312-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PORTAGE LAKES DR STE A",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443192299",
            "telephone_number": "330-375-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMA PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "MANAGER, PAYER ENROLLMENT",
        "authorized_official_telephone_number": "234-312-5691"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summa Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Troy J Sidner, CT
• Galen W. Sievert, PCC-S, LICDC-CS
• Charles Spahr
• Jerome Sude, O.D.
• Summa Physicians LLC
• Michael George Swartout, CDCA
• Tender Love and Care Services LLC
• Lisa M Testa, O.D.
• Kyle Valatka, H.A.S
• Kathleen Mary Valerius

• Neurology Physician in Coventry Township, OH
• Providers in Coventry Township, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.