Summit Diagnostics LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SUMMIT DIAGNOSTICS LLC

Practice address

3604 Cathedral Lake Dr
Frisco, TX 75034-3808

Phone

(727) 501-2280

NPI assigned

Dec 26, 2017

Organization subpart

No

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

Authorized official

Name

Kerri June Kobakof

Title

Manager

Phone

(727) 501-2280

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1922514165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 CATHEDRAL LAKE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 CATHEDRAL LAKE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343808",
            "telephone_number": "727-501-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "KOBAKOF",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-501-2280"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sujatha Krishnan MD PA
• Nancy Lynn Sullivan, OTR/L
• Amina Sultan
• Taslima Sultana
• Nakiah Quianna Summerville
• Summit Emergency Medicine, PLLC
• Summit Emergency Medicine, PLLC
• Summit Health Urgent Care PLLC
• Summit Speech Therapy, PLLC
• Sarah Sumner, MS, BCBA, LBA

• Orthopaedic Surgery Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.