Healthcare Provider Details

I. General information

NPI: 1245150176
Provider Name (Legal Business Name): SUMMIT RESPIRATORY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 LINWOOD LN
DUNCAN OK
73533-1138
US

IV. Provider business mailing address

2501 LINWOOD LN
DUNCAN OK
73533-1138
US

V. Phone/Fax

Practice location:
  • Phone: 540-597-7505
  • Fax:
Mailing address:
  • Phone: 540-597-7505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES PETERSEN
Title or Position: PHYSICIAN
Credential: DO
Phone: 918-352-0432