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NPI 1518276260

NPI 1518276260 : SUMMA PHYSICIANS LLC : TALLMADGE, OH

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General NPI Number Information
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    NPI Number           |    1518276260
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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     |    09/29/2010
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    Last Update Date     |    10/10/2025
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Provider Practice Location Address
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    Address Line         |    60 NORTH AVE 
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    City                 |    TALLMADGE
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    State                |    OH
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    Zip                  |    44278-1916
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    Country              |    US
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    Telephone            |    330-865-5333
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    Fax                  |    234-312-2341
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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        |    207QS0010X
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    Taxonomy Name        |    Sports Medicine (Family Medicine) 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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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