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General NPI Number Information
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NPI Number | 1801058631
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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 | 07/02/2008
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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 | 330-630-9726
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Fax | 330-630-2194
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive 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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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