MEDICARE: SUMMA PHYSICIANS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner
2	2084N0400X	Neurology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275718850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMA PHYSICIANS LLC

Provider Business Mailing Address
First Line	:	1077 GORGE BLVD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-2408
Country	:	US
Telephone Number	:	234-312-5873
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 PORTAGE LAKES DR
Second Line	:	SUITE B
City	:	AKRON
State	:	OH
Zip	:	44319-2299
Country	:	US
Telephone Number	:	330-375-7055
Fax Number	:	330-375-7060

Authorized Official
Title or Position	:	MANAGER, PAYER ENROLLMENT
Name	:	WENDY CARSON
Credential	:
Telephone Number	:	234-312-5691

Provider Enumeration Date	:	01/02/2008
Last Update Date	:	10/09/2025

Similar Medicare Providers

1861454449 — PACIFIC PHYSICIAN SERVICES, LLC
Practice Location Address:

500 PORTAGE LAKES DR , STE. B
AKRON, OH
44319-2299

Practice Phone: 330-645-6934
Practice Fax:

1558465013 — VALERIE A JOHNSON M.D.
Practice Location Address:

500 PORTAGE LAKES DR , STE. B
AKRON, OH
44319-2299

Practice Phone: 330-645-6934
Practice Fax: 330-645-6935

1104019983 — PACIFIC PHYSICIAN SERVICES
Practice Location Address:

500 PORTAGE LAKES DR , STE. B
AKRON, OH
44319-2299

Practice Phone: 330-645-6934
Practice Fax:

1891734166 — SUMMA PHYSICIANS LLC
Practice Location Address:

500 PORTAGE LAKES DR STE A
COVENTRY TOWNSHIP, OH
44319-2299

Practice Phone: 330-375-7055
Practice Fax:

1437494176 — SUMMA PHYSICIANS LLC
Practice Location Address:

500 PORTAGE LAKES DR STE A
COVENTRY TOWNSHIP, OH
44319-2299

Practice Phone: 234-571-9933
Practice Fax: 330-753-1499

1801399415 — JESSICA RAE BUSSEY
Practice Location Address:

500 PORTAGE LAKES DR
COVENTRY TOWNSHIP, OH
44319-2299

Practice Phone: 234-867-6626
Practice Fax: 234-867-7766

Directions to “SUMMA PHYSICIANS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.