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Summa Physicians LLC

Summa Physicians LLC is a healthcare organization registered as Sports Medicine (Family Medicine) Physician in Medina, OH, holding Type 2 (organization) NPI 1649559964 since 2011. The authorized official on file is Wendy Carson, Manager, Payer Enrollment.

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NPI 1649559964
Entity type Organization (Type 2)
Legal business name Summa Physicians LLC
Practice address 3780 MEDINA RD STE 105, Medina, OH, 44256
Phone 3303754100
Fax 2343122329
Enumeration date 2011-08-04
Last updated in NPPES 2025-10-13

Authorized official

Name Wendy Carson
Title Manager, Payer Enrollment
Phone 2343125691

Taxonomy & classification

Taxonomy code Specialty Primary License State
207QS0010X Sports Medicine (Family Medicine) Physician Primary

Other identifiers

Identifier Type State Issuer
0055648 Medicaid OH
Copy-ready billing details
Provider: Summa Physicians LLC
NPI: 1649559964
Taxonomy: 207QS0010X (Sports Medicine (Family Medicine) Physician)
Address: 3780 MEDINA RD STE 105, Medina, OH, 44256

Providers at this address

NPI Name Type Specialty Location
1992820633 Summa Physicians LLC Organization Geriatric Medicine (Internal Medicine) Physician Medina, OH
1275786048 Lorie Vandenbusche Individual Family Nurse Practitioner Medina, OH

Verify this record

Cross-check NPI 1649559964 against the authoritative CMS record: view Summa Physicians LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Summa Physicians LLC?
Summa Physicians LLC is registered in NPPES as a Sports Medicine (Family Medicine) Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-13.