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NPI Code Detail

MEDICARE: SUMMIT SURGICAL LLC

MEDICARE: SUMMIT SURGICAL 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
1225100000XPhysical Therapist

Other Identifiers

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

General Provider Information

NPI Number : 1548044159
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT SURGICAL LLC
Provider Business Mailing Address
First Line : 1818 E 23RD AVE
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-1106
Country : US
Telephone Number : 620-662-6000
Fax Number : 620-663-4803
Provider Business Practice Location Address
First Line : 125 W COOPER ST
Second Line :
City : STERLING
State : KS
Zip : 67579-1533
Country : US
Telephone Number : 620-278-4338
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : CARRIE SUE BAXTER
Credential :
Telephone Number : 620-662-6000
Provider Enumeration Date : 08/23/2023
Last Update Date : 02/09/2026

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Directions to “SUMMIT SURGICAL LLC ” Practice Location

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