Provider Demographics
NPI:1346364288
Name:SCOTT J. PIATT DBA SUMMIT HEALTHCARE
Entity Type:Organization
Organization Name:SCOTT J. PIATT DBA SUMMIT HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:PIATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-375-5273
Mailing Address - Street 1:419 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-2237
Mailing Address - Country:US
Mailing Address - Phone:716-375-5273
Mailing Address - Fax:716-375-5270
Practice Address - Street 1:419 N 8TH ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-2237
Practice Address - Country:US
Practice Address - Phone:716-375-5273
Practice Address - Fax:716-375-5270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005651261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02705246Medicaid
NY1033102231OtherINDIVIDUAL NPI
NY1598759128OtherINDIVIDUAL NPI-DR. KIRSCH
NYBA0271Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
NYS88704Medicare UPIN
NY02705246Medicaid