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NPI 1023143864

NPI 1023143864 : SUMMA PHYSICIANS LLC : MEDINA, OH

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General NPI Number Information
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    NPI Number           |    1023143864
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUMMA PHYSICIANS LLC 
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Dates
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    Enumeration Date     |    02/22/2007
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    Last Update Date     |    10/10/2025
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Provider Practice Location Address
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    Address Line         |    3780 MEDINA RD STE 150 
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    City                 |    MEDINA
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    State                |    OH
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    Zip                  |    44256-9312
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    Country              |    US
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    Telephone            |    330-721-6825
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    Fax                  |    330-725-7423
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Provider Business Mailing Address
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    Address Line         |    1077 GORGE BLVD 
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    City                 |    AKRON
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    State                |    OH
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    Zip                  |    44310-2408
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    Country              |    US
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    Telephone            |    234-312-5873
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER, PAYER ENROLLMENT
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    Name                 |     WENDY  CARSON 
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    Credential           |    
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    Telephone            |    234-312-5691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    
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    License Number State |    
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