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NPI Code Detail

MEDICARE: SUMMA PHYSICIANS LLC

MEDICARE: SUMMA PHYSICIANS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RS0012XSleep Medicine (Internal Medicine) Physician
2207QS1201XSleep Medicine (Family Medicine) Physician
3207RP1001XPulmonary Disease Physician
4207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265685507
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMA PHYSICIANS LLC
Provider Business Mailing Address
First Line : 1077 GORGE BLVD
Second Line :
City : AKRON
State : OH
Zip : 44310-2408
Country : US
Telephone Number : 234-312-5873
Fax Number :
Provider Business Practice Location Address
First Line : 155 5TH ST NE STE 106
Second Line :
City : BARBERTON
State : OH
Zip : 44203-3332
Country : US
Telephone Number : 330-615-3283
Fax Number :
Authorized Official
Title or Position : MANAGER, PAYER ENROLLMENT
Name : WENDY CARSON
Credential :
Telephone Number : 234-312-5691
Provider Enumeration Date : 10/30/2008
Last Update Date : 12/08/2025

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Directions to “SUMMA PHYSICIANS LLC ” Practice Location

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