Summit Sleep Disorder Center, PA

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

19652 Issued in NC

Legal business name

SUMMIT SLEEP DISORDER CENTER, PA

Practice address

760 Hartness Rd
Statesville, NC 28677-3425

Phone

(704) 878-0358

Fax

(704) 878-0703

NPI assigned

Apr 4, 2007

Last updated

Oct 9, 2008By 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

Patricia C Pulliam

Title

Vice President Administration

Phone

(336) 768-5834

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1952423717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 HARTNESS RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773425",
            "telephone_number": "704-878-0358",
            "fax_number": "704-878-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 HARTNESS RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773425",
            "telephone_number": "704-878-0358",
            "fax_number": "704-878-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SLEEP DISORDER CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "PULLIAM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT ADMINISTRATION",
        "authorized_official_telephone_number": "336-768-5834"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NC",
            "license": "19652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7901151",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Suzanne Strickland, D.M.D.
• Whitney Danelle Suddreth, MA, LCMHCA, NCC
• Hannah Martin Summers, MS, CCC-SLP
• Lisa Annette Summers
• Nakiyah Summers
• Sunrise Laboratories, LLC
• Support Opportunities and Stability of the Carolinas Inc
• Benny Allen Suttles, RN/BSN
• Juli Anne Swaim, OD
• Kambi Ann Swan, LPC

• Sleep Medicine (Psychiatry & Neurology) Physician in Statesville, NC
• Providers in Statesville, NC by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.