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SUMMIT MEDICAL GROUP
NPI 1235275207
Clinic/Center - Primary Care in Providence, RI

Active since January 29, 2007
100 HIGHLAND AVE STE 307, PROVIDENCE, RI 02906(401) 331-5320(401) 331-6168 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit Medical Group NPPES

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

SUMMIT MEDICAL GROUP (NPI 1235275207) is a healthcare organization registered as a primary care in Providence, Rhode Island and active in the NPI registry since January 2007. The organization lists Marvin Stuart Kerzner, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1235275207
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUMMIT MEDICAL GROUP
Location Address100 HIGHLAND AVE STE 307Providence, RI 02906-2753
Mailing Address100 Highland Ave Ste 307Providence, RI 02906-2753 · (401) 331-5320 · Fax (401) 331-6168
Phone(401) 331-5320
Fax(401) 331-6168
Organization SubpartNo
Authorized OfficialMarvin Stuart KerznerMedical Director · (401) 331-5320
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235275207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in RI · RI3593
100 HIGHLAND AVE STE 307, Providence, RI 02906
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Other Identifiers 3

Other2059883RI · Aetna
Medicaid9000847RI
Other847-1RI · Blue Cross

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's NPI number?

The NPI number for Summit Medical Group is 1235275207. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Summit Medical Group located?

Summit Medical Group is located at 100 Highland Ave Ste 307, Providence, RI 02906. The listed phone number is (401) 331-5320.

What is Summit Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Summit Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.