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Contact Information

SUMMIT PODIATRY GROUP PC
2797 SPRING ARBOR ROAD
SUITE A
JACKSON, MI49203
 Phone: 517-784-0900
 Fax: 517-784-7835
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUMMIT PODIATRY GROUP PC

NPI # 1295825099
LBN Legal business name SUMMIT PODIATRY GROUP PC
Authorized official KRISTI LEDBETTER - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 10/21/2020 - About 6 years ago
Identifiers
MI Other 0380060001 MEDICARE NSC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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