Provider Demographics
NPI:1578586848
Name:SUMMIT HEALTHCARE, INC
Entity Type:Organization
Organization Name:SUMMIT HEALTHCARE, INC
Other - Org Name:RICHMOND OB/GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:BATSON
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:804-320-2483
Mailing Address - Street 1:1 PARKWEST CIR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-5551
Mailing Address - Country:US
Mailing Address - Phone:804-320-2483
Mailing Address - Fax:804-794-0050
Practice Address - Street 1:1401 JOHNSTON WILLIS DR
Practice Address - Street 2:SUITE 5000
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-4730
Practice Address - Country:US
Practice Address - Phone:804-320-2483
Practice Address - Fax:804-330-5648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C06163Medicare Oscar/Certification
C06163Medicare PIN