Provider Demographics
NPI:1922517200
Name:SUMMIT FAMILY CARE, LLC
Entity Type:Organization
Organization Name:SUMMIT FAMILY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PHYSICIAN AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:OSTRANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DO, MBA
Authorized Official - Phone:816-944-3761
Mailing Address - Street 1:4031 NE LAKEWOOD WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1703
Mailing Address - Country:US
Mailing Address - Phone:816-944-3761
Mailing Address - Fax:816-272-2823
Practice Address - Street 1:4031 NE LAKEWOOD WAY STE 100
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1703
Practice Address - Country:US
Practice Address - Phone:816-944-3761
Practice Address - Fax:816-272-2823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-29
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty