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ST. ELIZABETH PHYSICIANS
NPI 1093137812
Internal Medicine in Newport, KY

Active since January 14, 2014CLIA Certified · 4 labs
1400 GRAND AVENUE, NEWPORT, KY 41071(859) 905-3070(859) 441-2230 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Elizabeth Physicians NPPES

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

ST. ELIZABETH PHYSICIANS (NPI 1093137812) is a healthcare organization registered as an internal medicine in Newport, Kentucky and active in the NPI registry since January 2014. The organization holds 4 active CLIA laboratory certificates and lists Glenn Loomis, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1093137812
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUMMIT MEDICAL GROUP, INC.
Location Address1400 GRAND AVENUENewport, KY 41071-2570
Mailing Address2300 Chamber Center Dr, Suite 200Lakeside Park, KY 41017-1673 · (859) 344-5555 · Fax (859) 344-5552
Phone(859) 905-3070
Fax(859) 441-2230
Organization SubpartNo
Authorized OfficialGlenn LoomisPresident/ceo · (859) 344-3733
Enumeration DateJanuary 14, 2014
Last NPPES UpdateFebruary 17, 2014
✔ NPI 1093137812 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
1400 GRAND AVENUE, Newport, KY 41071
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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 4

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) 18D2070552

St Elizabeth Physicians · Newport, KY
Active · expires Mar 11, 2028
CLIA Number18D2070552
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorTyler Browning
Laboratory Phone(859) 912-7193
Laboratory LocationSt Elizabeth Physicians1400 Grand Avenue, Newport, KY 41071
CLIA data matches this NPI record on: Address 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 18D2069479

St Elizabeth Physician's Urgent Care Ft T · Newport, KY
Active · expires Nov 24, 2027
CLIA Number18D2069479
Laboratory TypeUrgent Care
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorDr. Oscar Perez
Laboratory Phone(859) 905-3070
Laboratory LocationSt Elizabeth Physician's Urgent Care Ft T1400 Grand Avenue, Newport, KY 41071
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D0714629

St Elizabeth Physicians Women's Health Ft Thomas · Newport, KY
Active · expires May 1, 2028
CLIA Number18D0714629
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorSteven Willett, MD
Laboratory Phone(859) 781-6222
Laboratory LocationSt Elizabeth Physicians Women's Health Ft Thomas1400 N Grand Avenue, Newport, KY 41071
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 18D0701809

St Elizabeth Physicians General & Vascular Surgeons · Newport, KY
Active · expires Aug 31, 2026
CLIA Number18D0701809
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. James F. Bardgett
Laboratory Phone(859) 441-3818
Laboratory LocationSt Elizabeth Physicians General & Vascular Surgeons1400 N Grand Ave, Newport, KY 41071
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

MS. SHERRI LYNNE SCHWARTZ M.D.
Family Medicine
1400 GRAND AVENUE, ST ELIZABETH PHYSICIANS
NEWPORT, KY 41071
Campbell County (859) 912-7193
SUMMIT MEDICAL GROUP, INC
Urology
1400 GRAND AVENUE
NEWPORT, KY 41071
Campbell County (859) 212-0497
PATRICIA DANIELLE WALSH PA-C
Physician Assistant
1400 GRAND AVENUE
NEWPORT, KY 41071
Campbell County (859) 212-0497
ERIN RENEE TISCHNER DO
Internal Medicine
1400 GRAND AVENUE
NEWPORT, KY 41071
Campbell County (859) 781-2210
KAYLA SCHULER APRN
Nurse Practitioner
1400 GRAND AVENUE
NEWPORT, KY 41071
Campbell County (859) 757-4446
AUDREY ERTEL
Surgery
1400 GRAND AVENUE
NEWPORT, KY 41071
Campbell County (859) 578-5880
TYLER WILLIAM BROWNING M.D.
Family Medicine
1400 GRAND AVENUE, ST ELIZABETH PHYSICIANS
NEWPORT, KY 41071
Campbell County (859) 912-7193
MR. JONATHAN RAY VARNEY MSN, ARNP
Nurse Practitioner
1400 GRAND AVENUE
NEWPORT, KY 41071
Campbell County (859) 905-3070

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 1093137812. It was assigned to this organization in the NPPES registry on January 14, 2014. The provider is doing business as St. Elizabeth Physicians.

Where is Summit Medical Group, Inc. located?

Summit Medical Group, Inc. is located at 1400 Grand Avenue, Newport, KY 41071. The listed phone number is (859) 905-3070.

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. 4 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 February 17, 2014. 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.