Summit Medical Center

Primary specialty

Vascular Neurology PhysicianTaxonomy code 2084V0102X

Legal business name

SUMMIT MEDICAL CENTER

Practice address

4440 S Eastern Ave
Las Vegas, NV 89119-7825

Phone

(702) 476-0023

Fax

(702) 973-3477

NPI assigned

Oct 26, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Teneshia Dachell Spencer

Title

Ceo/Owner

Phone

(702) 476-0023

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1962914242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197825",
            "telephone_number": "702-476-0023",
            "fax_number": "702-973-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197825",
            "telephone_number": "702-476-0023",
            "fax_number": "702-973-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "TENESHIA",
        "authorized_official_middle_name": "DACHELL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "702-476-0023",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134437114",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Community Services LLC
• Summit Family Services LLC
• Summit Integrated Health of Nevada
• Summit Integrated Injury
• Summit Ipo LLC
• Summit Medical Group (Abdou & Bacchus) PC
• Summit Medical Group LLC
• Summit Medical Group of Colorado PC
• Summit Medical Holdings LLC
• Summit Mental Health

• Vascular Neurology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Vascular Neurology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.