Summit Podiatry PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SUMMIT PODIATRY PLLC

Practice address

108 N 11TH Ave Ste 2
Bozeman, MT 59715-3264

Phone

(406) 577-2153

NPI assigned

Aug 6, 2020

Organization subpart

No

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

Authorized official

Name

Josh Mackay

Title

Practice Manager

Phone

(406) 577-2153

Specialties & licenses 2

Addresses

Other names 1

• Summit Podiatry Doing business as

Locations

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1942810775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N 11TH AVE STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153264",
            "telephone_number": "406-577-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N 11TH AVE STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153264",
            "telephone_number": "406-577-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "406-577-2153"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne M Sullivan, LCPC
• Elena Sullivan
• Elizabeth Mascolo Sullivan, M.A. CCCSLP
• Kaitlyn Sullivan, RPH
• Timothy Brian Sullivan, MD
• Diane Renee Sumter, OTRL
• Keshtisha Sunde
• Peter Scott Sunden, RN
• Sundrop Wellness
• Sunset Journey Therapeutic Services PLLC

• Foot & Ankle Surgery Podiatrist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Foot & Ankle Surgery Podiatrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.