Provider Demographics
NPI:1124067186
Name:SUMMA EMERGENCY ASSOCIATES INC
Entity type:Organization
Organization Name:SUMMA EMERGENCY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:T
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-864-7102
Mailing Address - Street 1:3090 W MARKET ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3608
Mailing Address - Country:US
Mailing Address - Phone:330-864-7106
Mailing Address - Fax:330-869-8924
Practice Address - Street 1:525 E MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1619
Practice Address - Country:US
Practice Address - Phone:330-375-3369
Practice Address - Fax:330-375-3769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0984887Medicaid
OH61641OtherUNITED HEALTHCARE
OH=========-00OtherBWC
OH0984887Medicaid
OH9272051Medicare ID - Type Unspecified