Healthcare Provider Details

I. General information

NPI: 1770455974
Provider Name (Legal Business Name): SUMMIT PHYSICIAN GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 E BELL RD
PHOENIX AZ
85032-2112
US

IV. Provider business mailing address

PO BOX 41340
PHOENIX AZ
85080-1340
US

V. Phone/Fax

Practice location:
  • Phone: 623-923-5000
  • Fax:
Mailing address:
  • Phone: 623-320-0660
  • Fax: 623-320-0670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES CHOW
Title or Position: OWNER
Credential: MD
Phone: 773-818-5026