Summit Prime Care, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME93695 Issued in FL

Legal business name

SUMMIT PRIME CARE, INC

Practice address

781 Highway 466
Lady Lake, FL 32159-6340

Phone

(352) 751-6074

Fax

(352) 751-6076

NPI assigned

Mar 27, 2012

Last updated

Mar 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel E Rieders, MDNPI 1114927449

Title

Director

Phone

(352) 751-6074

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Daniel Edwin Rieders, M.D.

  • Cardiovascular Disease Physician
  • Pleasanton, CA
  • NPI 1114927449

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1932475670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 HIGHWAY 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596340",
            "telephone_number": "352-751-6074",
            "fax_number": "352-751-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 HIGHWAY 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596340",
            "telephone_number": "352-751-6074",
            "fax_number": "352-751-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PRIME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "RIEDERS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-751-6074",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Leigh Stout, AU.D.
• Mark Christopher Strickland, APRN
• Ashley Brooke Suarez, APRN
• Leonard A Sudberg, MD
• Summit Park Dental, Inc (Lake Quality Dental)
• Sunbelt Staffing, Inc
• Sunflower Rehab, LLC
• Sunshine Surgical and Wound Care LLC
• Surgical Practice Resource Group of Florida Inc
• Obai Takieddin

• Internal Medicine Physician in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.