Summit Medical Associates Llc

LBN: Summit Medical Associates Llc
Summit Medical Associates Llc is an health care organization with primary practice located at 4656 W Jefferson Blvd Suite 125, Fort Wayne IN 46804-6857. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Summit Medical Associates Llc can be contacted via phone (260) 434-1177, or through Apuri, Bhaktavatsala R via phone (260) 434-1177.

Contact Information

Primary practice address
4656 W Jefferson Blvd Suite 125 Fort Wayne IN 46804-6857
Phone: (260) 434-1177
Fax: (888) 854-6745
Website:
Map and Directions
Authorized official contact:
Name: Apuri, Bhaktavatsala R Doctor of Medicine (MD)
Phone: (260) 434-1177

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1063517084
LBN Legal business name Summit Medical Associates Llc
DBA Doing business as
Authorized official Apuri, Bhaktavatsala R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Dec 29th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063517084 NPPES
Indiana MEDICAID 200468080A

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