Organization Active NPI

Summit Neurology, P.S.

  • Neurology Physician
  • Seattle, WA
National Provider Identifier
1902023187
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SUMMIT NEUROLOGY, P.S.
Practice address
515 Minor Ave Ste 210
Seattle, WA 98104-2113
Phone
(206) 386-9652
Fax
(206) 386-9592
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mary Ellen Reif, MDNPI 1730188756
Title
Owner
Phone
(206) 386-9652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

515 Minor Ave Ste 210
Seattle, WA 98104-2113

Mailing address

515 Minor Ave Ste 210
Seattle, WA 98104-2113
Phone (206) 386-9652

National Provider Directory

National Provider Directory

Locations

1229 Madison St
Ste 1110
Seattle, WA 98104
Phone (206) 292-1110

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902023187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042113",
            "telephone_number": "206-386-9652",
            "fax_number": "206-386-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042113",
            "telephone_number": "206-386-9652",
            "fax_number": "206-386-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT NEUROLOGY, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REIF",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-386-9652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.