NPIMap

Organization Active NPI

Summit Healthcare Medical Associates

  • Rural Health Clinic/Center
  • Show Low, AZ
National Provider Identifier
1942701693
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Practice address
4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827
Phone
(928) 537-6700
Fax
(928) 532-2147
NPI assigned
Feb 27, 2018
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT HEALTHCARE ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Jessica McGinnis
Title
Chief of Physician Services Officer
Phone
(928) 537-6871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827

Mailing address

4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827
Phone (928) 537-6393

Other names 1

  • Summit Healthcare Pediatrics Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140815000931 AZ Part B Supplier - Clinic/Group Practice 8729205737 Receives reassigned benefits from 116 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Overgaard, AZ; St Johns, AZ; Snowflake, AZ; Show Low, AZ; Holbrook, AZ; Eagar, AZ
O20180503002577 AZ Part A Provider - Rural Health Clinic 8729205737 Practice locations: Show Low, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942701693. Details of each certification follow.

Rural health clinic certification: CCN 033841

Legal name
SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Doing business as
SUMMIT HEALTHCARE PEDIATRICS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 21, 2019
Last certification
May 25, 2022
Ownership / control type
2B
Organization structure
LLCNon-profit
Enrollment address
4951 S White Mountain Rd
BLDG a
Show Low, AZ 85901-7801

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Summit Healthcare Medical Associates9 organizations share this tax ID, including this one
Part of
Summit Healthcare Assoc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David W Rothenberger Individual Corporate OfficerCfo May 30, 2017
Jessica D McGinnis Individual W-2 Managing EmployeePractice Director Jun 8, 2015
Daniel G Brewer Individual W-2 Managing EmployeeMedical Director Aug 1, 2017
Summit Healthcare Association Organization, Show Low, AZ Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 23, 2014 100%
Operational/Managerial Control Apr 23, 2014 100%
Heidi M Chase Individual W-2 Managing EmployeeOffice Manager Apr 1, 2018
William Comer Individual Corporate OfficerChief Executive Officer Nov 13, 2023
W-2 Managing EmployeeChief Executive Officer Nov 13, 2023

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1942701693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 S WHITE MOUNTAIN RD BLDG A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017827",
            "telephone_number": "928-537-6393",
            "fax_number": "928-532-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 S WHITE MOUNTAIN RD BLDG A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017827",
            "telephone_number": "928-537-6700",
            "fax_number": "928-532-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTHCARE MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT HEALTHCARE ASSOCIATION",
        "enumeration_date": "2018-02-27",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "MCGINNIS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CHIEF OF PHYSICIAN SERVICES OFFICER",
        "authorized_official_telephone_number": "928-537-6871"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Healthcare Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.