Provider Demographics
NPI:1215127782
Name:SUMMIT INTERNAL MEDICINE AND PEDIATRICS, P.C.
Entity type:Organization
Organization Name:SUMMIT INTERNAL MEDICINE AND PEDIATRICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHODA
Authorized Official - Middle Name:L
Authorized Official - Last Name:YUEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-792-5200
Mailing Address - Street 1:10099 RIDGEGATE PKWY
Mailing Address - Street 2:SUITE 280
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5531
Mailing Address - Country:US
Mailing Address - Phone:303-792-5200
Mailing Address - Fax:303-792-5201
Practice Address - Street 1:10099 RIDGEGATE PKWY
Practice Address - Street 2:SUITE 280
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5531
Practice Address - Country:US
Practice Address - Phone:303-792-5200
Practice Address - Fax:303-792-5201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO41868207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1467427971OtherINDIVIDUAL NPI
COG84659Medicare UPIN