Summit Medical Group

LBN: Summit Medical Group
Summit Medical Group is an health care organization with primary practice located at 100 Highland Ave Ste 307 , Providence RI 02906-2753. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Summit Medical Group can be contacted via phone (401) 331-5320, or through Kerzner, Marvin Stuart via phone (401) 331-5320.

Contact Information

Primary practice address
100 Highland Ave Ste 307 Providence RI 02906-2753
Phone: (401) 331-5320
Fax: (401) 331-6168
Website:
Map and Directions
Authorized official contact:
Name: Kerzner, Marvin Stuart Doctor of Medicine (MD)
Phone: (401) 331-5320

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X RI3593 Rhode Island

Profile Details

NPI number 1235275207
LBN Legal business name Summit Medical Group
DBA Doing business as
Authorized official Kerzner, Marvin Stuart Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1235275207 NPPES
Rhode Island Other 847-1 BLUE CROSS
Rhode Island MEDICAID 9000847 BLUE CROSS
Rhode Island Other 2059883 BLUE CROSS

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