Summit Medical Specialists, Sc

LBN: Summit Medical Specialists, Sc
Summit Medical Specialists, Sc is an health care organization with primary practice located at 2717 N Grandview Blvd Ste 202 , Waukesha WI 53188-1660. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Summit Medical Specialists, Sc can be contacted via phone (262) 513-0700, or through Levenhagen, Tim via phone (262) 513-0700.

Contact Information

Primary practice address
2717 N Grandview Blvd Ste 202 Waukesha WI 53188-1660
Phone: (262) 513-0700
Fax: (262) 513-0707
Website:
Map and Directions
Authorized official contact:
Name: Levenhagen, Tim Doctor of Medicine (MD)
Phone: (262) 513-0700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 33398 Wisconsin

Profile Details

NPI number 1053538843
LBN Legal business name Summit Medical Specialists, Sc
DBA Doing business as
Authorized official Levenhagen, Tim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 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 1053538843 NPPES
Wisconsin MEDICAID 32189000

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