Organization · Type 2 NPI

Summit Medical Group, Inc

Urology Physician · Newport, KY

NPI number 1164995544 Active

Practice location

1400 Grand Avenue
Newport, KY 41071

Call (859) 212-0497 Map

Fax (859) 441-1575

Mailing address

1360 Dolwick Drive
Erianger, KY 41018

Specialties and licenses

Taxonomy	Code	License
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	207VF0040X	None listed
Urology Physician Primary	208800000X	None listed
Urgent Care Clinic/Center	261QU0200X	None listed
Nurse Practitioner	363L00000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

13 other providers at this address

NPI record

NPI: 1164995544
Entity type: Organization (Type 2)
Issued: Jan 8, 2019
Last updated: Mar 24, 2025
Status: Active

Other names

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St. Elizabeth Physicians · doing business as
St. Elizabeth Physicians · doing business as

Authorized official

Maria Rankin
AVP Revenue Cycle
(859) 344-5555

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164995544

Summit Medical Group, Inc's National Provider Identifier is 1164995544, issued on Jan 8, 2019. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Newport, KY. The record was last updated on Mar 24, 2025.