Active NPI
Summit Medical Group
- Ambulatory Surgical Clinic/Center
- Crestview Hills, KY
National Provider Identifier
1942532825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 300131
- Legal business name
- SUMMIT MEDICAL GROUP
- Practice address
- 340 Thomas More Pkwy
Suite 160 B
Crestview Hills, KY 41017-5100 - Phone
- (859) 331-6466
- Fax
- (859) 331-1932
- NPI assigned
- Feb 3, 2010
- Organization subpart
- Yes
- Parent organization
- SUMMIT MEDICAL GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Berte
- Title
- C.O.O.
- Phone
- (859) 957-1080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 300131 | KY | Primary |
Addresses
Primary practice location
340 Thomas More Pkwy
Suite 160 B
Crestview Hills, KY 41017-5100
Mailing address
334 Thomas More Pkwy
Suite 200
Crestview Hills, KY 41017-3464
Phone (859) 344-5481
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00815268 | Other | RAILRAOD MEDICARE | |
| 7100123490 | Medicaid | KY |
Other names 1
- dba Patient First Digestive Disease Center
National Provider Directory
National Provider Directory- Part of
- Summit Medical Groupinc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282003200000",
"number": "1942532825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 THOMAS MORE PKWY",
"address_2": "SUITE 200",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410173464",
"telephone_number": "859-344-5481",
"fax_number": "859-344-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 THOMAS MORE PKWY",
"address_2": "SUITE 160 B",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410175100",
"telephone_number": "859-331-6466",
"fax_number": "859-331-1932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT MEDICAL GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUMMIT MEDICAL GROUP",
"enumeration_date": "2010-02-03",
"last_updated": "2010-08-17",
"status": "A",
"authorized_official_last_name": "BERTE",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "C.O.O.",
"authorized_official_telephone_number": "859-957-1080"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "KY",
"license": "300131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "P00815268",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100123490",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Patient First Digestive Disease Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Crestview Hills, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.