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NPI Code Detail

MEDICARE: SUMMA PHYSICIANS LLC

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
1213ES0103XFoot & Ankle Surgery Podiatrist
2363L00000XNurse Practitioner
3207XS0106XOrthopaedic Hand Surgery Physician
4207XS0117XOrthopaedic Surgery of the Spine Physician
5363A00000XPhysician Assistant
6207QS0010XSports Medicine (Family Medicine) Physician
7207RR0500XRheumatology Physician
8207XX0801XOrthopaedic Trauma Physician
9364S00000XClinical Nurse Specialist
10207X00000XOrthopaedic Surgery Physician

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 : 1699727495
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 : 1 PARK WEST BLVD STE 330
Second Line :
City : AKRON
State : OH
Zip : 44320-4226
Country : US
Telephone Number : 330-835-5533
Fax Number : 234-312-2341
Authorized Official
Title or Position : MANAGER, PAYER ENROLLMENT
Name : WENDY CARSON
Credential :
Telephone Number : 234-312-5691
Provider Enumeration Date : 05/17/2006
Last Update Date : 01/15/2026

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Directions to “SUMMA PHYSICIANS LLC ” Practice Location

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