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ST. ELIZABETH PHYSICIANS
NPI 1083035299
Internal Medicine in Hebron, KY

Active since December 16, 2013CLIA Certified · 10 labs
2091 N BEND RD, HEBRON, KY 41048(859) 586-2200(859) 856-4222 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Elizabeth Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. ELIZABETH PHYSICIANS (NPI 1083035299) is a healthcare organization registered as an internal medicine in Hebron, Kentucky and active in the NPI registry since December 2013. The organization holds 10 active CLIA laboratory certificates and lists Glenn Loomis, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1083035299
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUMMIT MEDICAL GROUP, INC
Location Address2091 N BEND RDHebron, KY 41048-9691
Mailing Address2300 Chamber Center Dr, Suite 200Lakeside Park, KY 41017-1673 · (859) 344-5555 · Fax (859) 344-5552
Phone(859) 586-2200
Fax(859) 856-4222
Organization SubpartNo
Authorized OfficialGlenn LoomisPresident/ceo · (859) 344-3733
Enumeration DateDecember 16, 2013
✔ NPI 1083035299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
2091 N BEND RD, Hebron, KY 41048
Open in Google Maps ↗

Other Names 1

Doing Business AsSt. Elizabeth Physicians

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 10

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D0324126

St Elizabeth Physicians · Fort Mitchell, KY
Active · expires Apr 14, 2028
CLIA Number18D0324126
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorDr. Fred W. Dunaway
Laboratory Phone(606) 341-3114
Laboratory LocationSt Elizabeth Physicians2300 Chamber Center Drive, Suite 200, Fort Mitchell, KY 41017
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 18D0943303

St Elizabeth Physicians · Crestview Hills, KY
Active · expires Mar 24, 2028
CLIA Number18D0943303
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorDr. Barry Wendt
Laboratory Phone(606) 341-0288
Laboratory LocationSt Elizabeth Physicians334 Thomas More Pkwy Suite 200 Attn Vicky Parks, Crestview Hills, KY 41017
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D0324403

St Elizabeth Physicians · Hebron, KY
Active · expires Nov 18, 2027
CLIA Number18D0324403
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorDr. Amy Haney
Laboratory Phone(859) 442-6600
Laboratory LocationSt Elizabeth Physicians2200 Conner Road Suite B, Hebron, KY 41048
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D1044729

St Elizabeth Physicians · Edgewood, KY
Active · expires Aug 25, 2027
CLIA Number18D1044729
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorDr. Michael P. Minning
Laboratory Phone(859) 301-8686
Laboratory LocationSt Elizabeth Physicians20 Medical Village Dr, Ste 132, Edgewood, KY 41017
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D2326085

St Elizabeth Physicians Edgewood Im Peds · Edgewood, KY
Active · expires Jun 25, 2027
CLIA Number18D2326085
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorDr. Meredith A. Landorf
Laboratory Phone(859) 578-5651
Laboratory LocationSt Elizabeth Physicians Edgewood Im Peds20 Medical Village Drive, Ste 308, Edgewood, KY 41017
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D0696275

St Elizabeth Physicians Women's Health · Crestview Hills, KY
Active · expires May 7, 2027
CLIA Number18D0696275
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorMs. Lisa Downton
Laboratory Phone(606) 331-4665
Laboratory LocationSt Elizabeth Physicians Women's Health351 Centre View Blvd, Crestview Hills, KY 41017
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY FIRST HEALTH, LLC.
Family Medicine
2091 N BEND RD, UNIT 100
HEBRON, KY 41048
Boone County (859) 817-1370
SRI DIVYA MUPPALA M.D.
Internal Medicine
2091 N BEND RD, HEBRON
HEBRON, KY 41048
Boone County (859) 586-2200
HEBRON MEDICAL CENTER LLC
General Practice
2091 N BEND RD
HEBRON, KY 41048
Boone County (859) 271-4730
MARQUEL TIPTON PA-C
Physician Assistant
2091 N BEND RD, SUITE 100
HEBRON, KY 41048
Boone County (859) 817-1370
MARK E FRANKLIN MD
Emergency Medicine
2091 N BEND RD
HEBRON, KY 41048
Boone County (859) 586-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Medical Group, Inc's NPI number?

The NPI number for Summit Medical Group, Inc is 1083035299. It was assigned to this organization in the NPPES registry on December 16, 2013. The provider is doing business as St. Elizabeth Physicians.

Where is Summit Medical Group, Inc located?

Summit Medical Group, Inc is located at 2091 N Bend Rd, Hebron, KY 41048. The listed phone number is (859) 586-2200.

What is Summit Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Summit Medical Group, Inc hold CLIA laboratory certificates?

Yes. 10 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Summit Medical Group, Inc was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.