Summit Medical Group Llc

LBN: Summit Medical Group Llc
Summit Medical Group Llc is an health care organization with primary practice located at 6310 Stevens Forest Rd Ste 200 , Columbia MD 21046-1068. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Summit Medical Group Llc can be contacted via phone (410) 740-9001, or through Udochi, Njideka via phone (410) 245-2414.

Contact Information

Primary practice address
6310 Stevens Forest Rd Ste 200 Columbia MD 21046-1068
Phone: (410) 740-9001
Fax: (410) 740-9005
Website:
Map and Directions
Authorized official contact:
Name: Udochi, Njideka Doctor of Medicine (MD)
Phone: (410) 245-2414

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1952970816
LBN Legal business name Summit Medical Group Llc
DBA Doing business as
Authorized official Udochi, Njideka Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2021
Last updated Dec 13th, 2023 - about 3 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 1952970816 NPPES
Maryland Other D00051897 MD LICENSE
Maryland MEDICAID 685900301 MD LICENSE

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