NPIMap

Organization Active NPI

Summt Medical Group, Inc

Doing business as St. Elizabeth Physicians

  • Urgent Care Clinic/Center
  • Crittenden, KY
National Provider Identifier
1992278410
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SUMMT MEDICAL GROUP, INC
Doing business as
St. Elizabeth Physicians
Practice address
405 Violet Road
Crittenden, KY 41030
Phone
(859) 903-0268
Fax
(859) 428-1444
NPI assigned
Jan 8, 2019
Last updated
Jan 8, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMT MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Maria Rankin
Title
Avp Revenue Cycle
Phone
(859) 655-2583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

405 Violet Road
Crittenden, KY 41030

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 903-0268

Other names 1

  • St. Elizabeth Physicians Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0961009St Elizabeth Physicians - Crittenden405 Violet Road, Crittenden, KY 41030Certificate of waiverNov 1, 2026
18D2121085St Elizabeth Physicians Urgent405 Violet Road, Crittenden, KY 41030Certificate of waiverOct 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Summit Medical Group in18 organizations share this tax ID, including this one
Part of
Summit Medical Group in

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1992278410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-903-0268",
            "fax_number": "859-428-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 VIOLET ROAD",
            "city": "CRITTENDEN",
            "state": "KY",
            "postal_code": "41030",
            "telephone_number": "859-903-0268",
            "fax_number": "859-428-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMT MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMT MEDICAL GROUP, INC",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "AVP REVENUE CYCLE",
        "authorized_official_telephone_number": "859-655-2583"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Elizabeth Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crittenden, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.