| Summit Healthcare Medical Associates | |
|
4951 S White Mountain Rd Bldg A Show Low AZ 85901-7827 | |
| (928) 537-6700 | |
| (928) 537-9945 |
| Full Name | Summit Healthcare Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 4951 S White Mountain Rd Bldg A, Show Low, Arizona |
| Authorized Official Name and Position | Jonathan Felton (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9285376750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Healthcare Medical Associates 4951 S White Mountain Rd Bldg A Show Low AZ 85901-7827 Ph: (928) 537-6700 | Summit Healthcare Medical Associates 4951 S White Mountain Rd Bldg A Show Low AZ 85901-7827 Ph: (928) 537-6700 |
| NPI Number | 1467878108 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 8729205737 |
|---|---|
| Medicare Enrollment ID | O20140815000931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467878108 | NPI | - | NPPES |
| Provider Name | Richard P Shaughnessy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689776254 PECOS PAC ID: 6305838384 Enrollment ID: I20040331000611 |
| Provider Name | Vincent E Furrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053365445 PECOS PAC ID: 8426038639 Enrollment ID: I20040720001012 |
| Provider Name | Riyaz A Sumar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144212721 PECOS PAC ID: 9830160399 Enrollment ID: I20040805001464 |
| Provider Name | Timothy J Ryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104807213 PECOS PAC ID: 0840250809 Enrollment ID: I20041013001342 |
| Provider Name | Patrick A Brighton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124050885 PECOS PAC ID: 7315922531 Enrollment ID: I20050420000395 |
| Provider Name | Dax K Trujillo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699848382 PECOS PAC ID: 7012957731 Enrollment ID: I20050511000916 |
| Provider Name | Simranjit S Galhotra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962407601 PECOS PAC ID: 1254375413 Enrollment ID: I20050617000692 |
| Provider Name | Anthony D Greco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912978867 PECOS PAC ID: 5092730077 Enrollment ID: I20051008000251 |
| Provider Name | Nathan M Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093763377 PECOS PAC ID: 3375564834 Enrollment ID: I20051212000708 |
| Provider Name | Jeffrey A Levison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467405894 PECOS PAC ID: 4486660974 Enrollment ID: I20060221000420 |
| Provider Name | Bonifasiyo K Ssennyamantono |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902813678 PECOS PAC ID: 4082611280 Enrollment ID: I20061101000157 |
| Provider Name | Hiva Vakil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356480172 PECOS PAC ID: 4587760665 Enrollment ID: I20070507000258 |
| Provider Name | Adhar Seth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164539755 PECOS PAC ID: 2062462666 Enrollment ID: I20070807000582 |
| Provider Name | Cara L Quade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437112240 PECOS PAC ID: 9537239058 Enrollment ID: I20080610000091 |
| Provider Name | Craig G Brady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447224548 PECOS PAC ID: 8022004563 Enrollment ID: I20081022000701 |
| Provider Name | Jacob B Oldham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033109632 PECOS PAC ID: 8325067804 Enrollment ID: I20090105000257 |
| Provider Name | Lorne W Murray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609857705 PECOS PAC ID: 1153476155 Enrollment ID: I20090826000897 |
| Provider Name | Koushik Nag |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699892059 PECOS PAC ID: 4981759107 Enrollment ID: I20090911000045 |
| Provider Name | Burke Gary Delange |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801866876 PECOS PAC ID: 8527036474 Enrollment ID: I20090917000601 |
| Provider Name | Timothy R Penniston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144243692 PECOS PAC ID: 8729035472 Enrollment ID: I20090928000360 |
| Provider Name | Hursh S Naik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124139423 PECOS PAC ID: 9436295524 Enrollment ID: I20091002000325 |
| Provider Name | James B Olack |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669686135 PECOS PAC ID: 3274670518 Enrollment ID: I20100902001022 |
| Provider Name | Lawrence D Coss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932171311 PECOS PAC ID: 7315133204 Enrollment ID: I20101117001335 |
| Provider Name | Steven M Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578540936 PECOS PAC ID: 4183605611 Enrollment ID: I20110126001008 |
| Provider Name | Arun S Patil |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093955908 PECOS PAC ID: 3971653130 Enrollment ID: I20120628000052 |
| Provider Name | Jason R Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669517611 PECOS PAC ID: 7012014376 Enrollment ID: I20130226000478 |
| Provider Name | Nathaniel D Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104054378 PECOS PAC ID: 4284873134 Enrollment ID: I20130625000592 |
| Provider Name | Victor K Staheli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275844979 PECOS PAC ID: 1759521230 Enrollment ID: I20130703000622 |
| Provider Name | Steven C Whiting |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710299003 PECOS PAC ID: 0749421469 Enrollment ID: I20130723000541 |
| Provider Name | Chad B Brimhall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699095976 PECOS PAC ID: 5193968857 Enrollment ID: I20130828000044 |
| Provider Name | Scott A Salmon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063687051 PECOS PAC ID: 9436392115 Enrollment ID: I20130828000226 |
| Provider Name | Raelynn M Musick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073946562 PECOS PAC ID: 0547494809 Enrollment ID: I20130930000280 |
| Provider Name | Brandie D Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093148991 PECOS PAC ID: 5698901676 Enrollment ID: I20131121001105 |
| Provider Name | Geoffrey D Cornelsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447415161 PECOS PAC ID: 6305073370 Enrollment ID: I20140814002691 |
| Provider Name | Bahar Golestan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811151376 PECOS PAC ID: 5890018626 Enrollment ID: I20141230001937 |
| Provider Name | Joseph N Pack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578765012 PECOS PAC ID: 4688730062 Enrollment ID: I20150610001765 |
| Provider Name | Benjamin R Richardson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215222013 PECOS PAC ID: 0941510598 Enrollment ID: I20151218001730 |
| Provider Name | Ryan James Varga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184060808 PECOS PAC ID: 4688978505 Enrollment ID: I20160525001866 |
| Provider Name | Douglas B Masson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114901238 PECOS PAC ID: 2961664750 Enrollment ID: I20160721001265 |
| Provider Name | Tina M Fawcett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326422700 PECOS PAC ID: 9931416013 Enrollment ID: I20160914002748 |
| Provider Name | Brian William Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497165732 PECOS PAC ID: 2668754722 Enrollment ID: I20170125000932 |
| Provider Name | Daniel G Brewer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538570536 PECOS PAC ID: 2961700265 Enrollment ID: I20170809001642 |
| Provider Name | Sandra Walker Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770749202 PECOS PAC ID: 0547304412 Enrollment ID: I20171106003241 |
| Provider Name | Upamanyu Rampal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790195741 PECOS PAC ID: 9830459981 Enrollment ID: I20180209000710 |
| Provider Name | Matthew Waite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760861082 PECOS PAC ID: 4981951456 Enrollment ID: I20180716002936 |
| Provider Name | James C Heap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417338880 PECOS PAC ID: 9638452790 Enrollment ID: I20180725000635 |
| Provider Name | Cameron Tregaskes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184030454 PECOS PAC ID: 4385969633 Enrollment ID: I20180726002557 |
| Provider Name | David Clay Lazenby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992143531 PECOS PAC ID: 4486884814 Enrollment ID: I20190401002029 |
| Provider Name | Randal Lloyd Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235581539 PECOS PAC ID: 9234467341 Enrollment ID: I20190828001206 |
| Provider Name | Mary Storts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952958472 PECOS PAC ID: 8921339508 Enrollment ID: I20191011002336 |
| Provider Name | Ralph Adam Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558719468 PECOS PAC ID: 2466745575 Enrollment ID: I20191024001016 |
| Provider Name | Courtney Ann Mackinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861023921 PECOS PAC ID: 4789012667 Enrollment ID: I20200309001384 |
| Provider Name | Brett Joseph Brewer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538516778 PECOS PAC ID: 4981035987 Enrollment ID: I20200506003399 |
| Provider Name | David C Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417480047 PECOS PAC ID: 0941532048 Enrollment ID: I20200513003204 |
| Provider Name | Kristi M Kindrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194969584 PECOS PAC ID: 3779727441 Enrollment ID: I20200609002550 |
| Provider Name | Hiba Abdel Aziz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104016336 PECOS PAC ID: 2860526316 Enrollment ID: I20200715001886 |
| Provider Name | Natasha N Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841557121 PECOS PAC ID: 5496035354 Enrollment ID: I20200730002578 |
| Provider Name | Jessica L Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972121861 PECOS PAC ID: 1456776566 Enrollment ID: I20200806002663 |
| Provider Name | Katheryn Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083262620 PECOS PAC ID: 0345572459 Enrollment ID: I20210311001273 |
| Provider Name | Ryan E Mccallum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538331137 PECOS PAC ID: 9234559600 Enrollment ID: I20210521002372 |
| Provider Name | Mariah R Curtis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740770536 PECOS PAC ID: 9739430539 Enrollment ID: I20210708001388 |
| Provider Name | Lynn L Bryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437511730 PECOS PAC ID: 9436551702 Enrollment ID: I20210708002194 |
| Provider Name | Ashley Kelepolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790450229 PECOS PAC ID: 3971900556 Enrollment ID: I20210923003571 |
| Provider Name | Randal Jordan Shumway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962027326 PECOS PAC ID: 2264810613 Enrollment ID: I20220526000658 |
| Provider Name | Keith Z Amaral |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417416496 PECOS PAC ID: 0042548018 Enrollment ID: I20220609000491 |
| Provider Name | Curtis A Ellsworth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750802807 PECOS PAC ID: 9830590785 Enrollment ID: I20220624000002 |
| Provider Name | Balaji Natarajan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366822801 PECOS PAC ID: 5991060063 Enrollment ID: I20220708001256 |
| Provider Name | David B Marble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841856507 PECOS PAC ID: 7618382169 Enrollment ID: I20220711001789 |
| Provider Name | Muhammad Z Khakwani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710353123 PECOS PAC ID: 5294077244 Enrollment ID: I20220726001526 |
| Provider Name | Jay Calvin Kempton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972187466 PECOS PAC ID: 0244613164 Enrollment ID: I20220810001132 |
| Provider Name | Sydney Nicole Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609511872 PECOS PAC ID: 2860877487 Enrollment ID: I20220919001650 |
| Provider Name | Mark Dittenbir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942249727 PECOS PAC ID: 0749192235 Enrollment ID: I20230419001040 |
| Provider Name | Mark Wasserman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225130933 PECOS PAC ID: 2163411133 Enrollment ID: I20230424001015 |
| Provider Name | Deborah K Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568669489 PECOS PAC ID: 6103960760 Enrollment ID: I20230713003170 |
| Provider Name | Brady T Mannett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932603032 PECOS PAC ID: 6901134758 Enrollment ID: I20230807001149 |
| Provider Name | Dustin Kyle Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407534316 PECOS PAC ID: 9133583081 Enrollment ID: I20230912001393 |
| Provider Name | Sonya L Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457030991 PECOS PAC ID: 7719331354 Enrollment ID: I20230929002163 |
| Provider Name | Rosa M Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891573176 PECOS PAC ID: 3577914548 Enrollment ID: I20240104001232 |
| Provider Name | Vickrey V Kinkade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639268170 PECOS PAC ID: 0749579092 Enrollment ID: I20240108006213 |
| Provider Name | Bradley T Behm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750456810 PECOS PAC ID: 4183075245 Enrollment ID: I20240112002831 |
| Provider Name | Carly Anne Dana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881202653 PECOS PAC ID: 9739531617 Enrollment ID: I20240116003288 |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 E. Show Low Lake Rd., Show Low, AZ 85901 Phone: 928-537-4300 | |
White Mountain Wellness Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Clark Rd # 7a, Show Low, AZ 85901 Phone: 928-800-1228 Fax: 928-563-1006 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 Phone: 928-537-4300 Fax: 928-537-4301 | |
Steven B. Chintis, D.o., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5171 Cub Lake Rd, Suite C380, Show Low, AZ 85901 Phone: 928-537-1077 Fax: 928-532-0757 | |
Your Family Practice Team Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2051 Evergreen Ln Ste D, Show Low, AZ 85901 Phone: 928-537-2200 Fax: 928-537-2204 | |
Lakeside Chiropractic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 E Oliver Pl, Show Low, AZ 85901 Phone: 928-532-1225 Fax: 928-532-2276 | |
Comprehensive Hospitalist Services Of Arizona, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 877-693-5700 |