P Praxis·MD
● Active Type 2 · Organization

Summit Medical Providers Llc

General Practice·Eagle, ID· NPI 1164397410 · Enumerated 2025 · 0 years on NPI
Summit Medical Providers Llc is 1 of 75 general practice organizations in Idaho.
NPI age
— years
Enumerated 2025-10-07
Primary specialty
General Practice
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fletcher
Owner
Last NPPES update
2025-10-07
Source: monthly bulk 2026-05

How this organization compares

Across 75 active general practice providers in Idaho.

NPI age
0 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2025 → 2026

2025-10Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
2205 E Riverside Dr
Eagle, ID 836167620
📞 8018679760fax 8018804400
Mailing address
2205 E Riverside Dr
Eagle, ID 836167620
📞 8018679760fax 8018804400

Authorized official

Rachel Fletcher
Owner
📞 8018679760

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    taxonomy 208D00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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