Ethan Conner Summers

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

8044 Pleasant Valley Rd
Camden, OH 45311-8947

Phone

(937) 336-6747

NPI assigned

Dec 27, 2024

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2024.

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1043028616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 PLEASANT VALLEY RD",
            "city": "CAMDEN",
            "state": "OH",
            "postal_code": "453118947",
            "telephone_number": "937-336-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 PLEASANT VALLEY RD",
            "city": "CAMDEN",
            "state": "OH",
            "postal_code": "453118947",
            "telephone_number": "937-336-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "ETHAN",
        "middle_name": "CONNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Risner, CSFA
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• Cathleen Schweinfest
• Shannon Elizabeth Steele, RPH
• Jessica Stubbs
• The Home Farms Residential Services, LLC
• Thomson Medical, LLC
• Derek Wyman Thomson, D.O
• James W. Thomson, DO
• Thrive Therapeutics

• All providers in Camden, OH
• Home Modifications Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.