SUMMIT HEALTHCARE ASSOCIATION
NPI 1083736128
Clinic/Center - Oncology in Show Low, AZ

NPI Status: Active since April 06, 2007

Contact Information

2500 E HUNT DR STE H-J
SHOW LOW, AZ
ZIP 85901
Phone: (928) 537-6937

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  • Organization
  • Clinic/Center
  • Oncology
  • Accepts Insurance

About SUMMIT HEALTHCARE ASSOCIATION

This page provides the complete NPI Profile along with additional information for Summit Healthcare Association, a provider established in Show Low, Arizona operating as a Clinic/center, focusing in oncology . The healthcare provider is registered in the NPI registry with number 1083736128 assigned on April 2007. The practitioner's primary taxonomy code is 261QX0200X with license number 3376 (AZ). The provider is registered as an organization and their NPI record was last updated June 2025. The provider's . The authorized official of this NPI record is David Rothenberger (Cfo)

NPI
1083736128
Provider Legal Name
SUMMIT HEALTHCARE ASSOCIATION
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2500 E HUNT DR STE H-J SHOW LOW, AZ 85901
Location Phone
(928) 537-6937
Mailing Address
2500 E HUNT ST SUITE H SHOW LOW, AZ 85901
Mailing Phone
(928) 537-6937
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-06-2007
Last Update Date
06-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Oncology

Taxonomy Code
261QX0200X
Type
Ambulatory Health Care Facilities
License No.
3376
License State
AZ
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QX0203XAmbulatory Health Care Facilities

Clinic/Center
Oncology, Radiation

3376 (AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue ACA StandardHealth Silver with Health Choice - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID ROTHENBERGER

Authorized Official Title
CFO
Authorized Official Phone
(375) 928-6375

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
020016MEDICAID (05)AZ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083736128
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201631431214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 4 + 3 + 1 + 2 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1083736128 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740286707 MARILYN P KING FNP
Individual
Nurse Practitioner2500 E HUNT DR STE H-J
SHOW LOW, AZ 85901
(928) 537-6937
1073559399 MAUREEN MARY WALLACE PA-C
Individual
Physician Assistant (Medical)2500 E HUNT DR STE H-J
SHOW LOW, AZ 85901
(928) 537-6937
1316936222DR. SALMAN MALAD MD
Individual
Internal Medicine (Medical Oncology)2500 E HUNT DR STE H-J
SHOW LOW, AZ 85901
(928) 537-6937

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083736128, enumerated in the NPI registry as an "organization" on April 06, 2007

The provider is located at 2500 E Hunt Dr Ste H-j Show Low, Az 85901 and the phone number is (928) 537-6937

This medical organization specializes in Clinic/Center with taxonomy code 261QX0200X with a focus in Oncology

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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