Healthcare Provider Details

I. General information

NPI: 1801058631
Provider Name (Legal Business Name): SUMMA PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 NORTH AVE
TALLMADGE OH
44278-1916
US

IV. Provider business mailing address

1077 GORGE BLVD
AKRON OH
44310-2408
US

V. Phone/Fax

Practice location:
  • Phone: 330-630-9726
  • Fax: 330-630-2194
Mailing address:
  • Phone: 234-312-5873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: WENDY CARSON
Title or Position: MANAGER, PAYER ENROLLMENT
Credential:
Phone: 234-312-5691