Summit Medical Group, Llc

LBN: Summit Medical Group, Llc
Summit Medical Group, Llc is an health care organization with primary practice located at 12633 Se Oatfield Rd , Milwaukie OR 97222-6939. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Summit Medical Group, Llc can be contacted via phone (503) 307-1422, or through Lindsey, Judith A via phone (503) 307-1422.

Contact Information

Primary practice address
12633 Se Oatfield Rd Milwaukie OR 97222-6939
Fax:
Website:
Authorized official contact:
Name: Lindsey, Judith A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17146 Oregon

Profile Details

NPI number 1235344060
LBN Legal business name Summit Medical Group, Llc
DBA Doing business as
Authorized official Lindsey, Judith A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Oct 19th, 2012 - about 14 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 1235344060 NPPES
Oregon Other 1932162880 MEDICARE NPI
Oregon Other 1235344060 MEDICARE NPI
Oregon MEDICAID 287403 MEDICARE NPI
Oregon Other 715535-81 MEDICARE NPI
Oregon Other 1922074160 MEDICARE NPI

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