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ST ELIZABETH PHYSICIANS
NPI 1568902864
Family Medicine in Florence, KY

Active since March 06, 2017CLIA 18D2080540 · Waiver
8200 DIXIE HWY, FLORENCE, KY 41042(859) 212-0494(859) 282-1545 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About St Elizabeth Physicians NPPES

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

ST ELIZABETH PHYSICIANS (NPI 1568902864) is a healthcare organization registered as a family medicine in Florence, Kentucky and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Robert Prichard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568902864
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUMMIT MEDICAL GROUP INC
Location Address8200 DIXIE HWYFlorence, KY 41042-3225
Mailing Address2300 Chamber Center Dr Ste 300Fort Mitchell, KY 41017 · (859) 344-5555 · Fax (859) 344-5552
Phone(859) 212-0494
Fax(859) 282-1545
Organization SubpartNo
Authorized OfficialRobert PrichardCeo · (859) 344-3737
Enumeration DateMarch 6, 2017
✔ NPI 1568902864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8200 DIXIE HWY, Florence, KY 41042
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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

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 of Waiver 18D2080540

St Elizabeth Physicians- Mubea · Florence, KY
Active · expires Jul 8, 2028
CLIA Number18D2080540
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorTodd Cook
Laboratory Phone(859) 212-0494
Laboratory LocationSt Elizabeth Physicians- Mubea8200 Dixie Highway, Florence, KY 41042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JESSICA BOKELMAN DO
Family Medicine
8200 DIXIE HWY
FLORENCE, KY 41042
Boone County (859) 212-0494

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 1568902864. It was assigned to this organization in the NPPES registry on March 6, 2017. The provider is doing business as St Elizabeth Physicians.

Where is Summit Medical Group Inc located?

Summit Medical Group Inc is located at 8200 Dixie Hwy, Florence, KY 41042. The listed phone number is (859) 212-0494.

What is Summit Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Summit Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2080540) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Summit Medical Group Inc was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.