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SUMMIT MEDICAL CARE
NPI 1881216646
Family Medicine in Provo, UT

Active since May 14, 2020
777 N 500 W STE 103, PROVO, UT 84601(801) 253-6886(801) 253-6888 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 18, 2022, May 6, 2022, Sep 29, 2021 and 2 more (5 updates tracked since 2020).

About Summit Medical Care NPPES

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

SUMMIT MEDICAL CARE (NPI 1881216646) is a healthcare organization registered as a family medicine in Provo, Utah and active in the NPI registry since May 2020. The organization maintains 2 additional practice locations and lists Ryan Ellsworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1881216646
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUMMIT MEDICAL CARE
Location Address777 N 500 W STE 103Provo, UT 84601-1552
Mailing Address9980 S 300 W Ste 310Sandy, UT 84070-3654 · (801) 253-6886 · Fax (385) 900-5928
Phone(801) 253-6886
Fax(801) 253-6888
Organization SubpartNo
Authorized OfficialRyan EllsworthOwner · (801) 550-0955
Enumeration DateMay 14, 2020
Last NPPES UpdateMay 18, 20225 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1881216646 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.

777 N 500 W STE 103, Provo, UT 84601
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Secondary Practice Locations 2

Location 13130 S Highland Dr Ste B4Salt Lake City, UT 84106-3095 · Phone (801) 253-6886 · Fax (801) 253-6888
Location 212523 S Creek Meadow Rd Ste 105Riverton, UT 84065-7299 · Phone (801) 253-6886 · Fax (801) 253-6888

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

Other Providers at the Same Location NPPES

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

VALLEY FOOT & ANKLE
Podiatrist
777 N 500 W STE 103
PROVO, UT 84601
Utah County (801) 375-6677

Frequently Asked Questions

What is SUMMIT MEDICAL CARE's NPI number?

The NPI number assigned to this healthcare provider is 1881216646, enumerated as an "organization" on May 14, 2020.

Where is the provider located?

The provider is located at 777 N 500 W STE 103 PROVO, UT 84601 and the phone number is (801) 253-6886.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.