Organization Active NPI

Mark S. Sumida, MD PLLC

  • Orthopaedic Surgery Physician
  • Hixson, TN
National Provider Identifier
1033757802
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MARK S. SUMIDA, MD PLLC
Practice address
1724 Hamill Rd Ste 204
Hixson, TN 37343-5098
Phone
(423) 877-4705
Fax
(423) 877-9970
NPI assigned
Dec 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Sumida, MD
Title
Owner
Phone
(423) 877-4705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1724 Hamill Rd Ste 204
Hixson, TN 37343-5098

Mailing address

1724 Hamill Rd Ste 204
Hixson, TN 37343-5098
Phone (423) 877-4705

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1033757802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 HAMILL RD STE 204",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435098",
            "telephone_number": "423-877-4705",
            "fax_number": "423-877-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 HAMILL RD STE 204",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435098",
            "telephone_number": "423-877-4705",
            "fax_number": "423-877-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. SUMIDA, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "SUMIDA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-877-4705",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.