NPIMap

Organization Active NPI

Mark S Sumida, MD, PC

  • Primary Care Clinic/Center
  • Hixson, TN
National Provider Identifier
1083030738
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
28047 Issued in TN
Legal business name
MARK S SUMIDA, MD, PC
Practice address
2051B Hamill Rd Ste 107
Hixson, TN 37343-4092
Phone
(423) 877-4705
NPI assigned
Mar 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Authorized official

Name
Dr. Mark SumidaNPI 1093764037
Title
President
Phone
(423) 877-4705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 28047 TN Primary

Addresses

Primary practice location

2051B Hamill Rd Ste 107
Hixson, TN 37343-4092

Mailing address

2051B Hamill Rd Ste 107
Hixson, TN 37343-4092

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1083030738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051B HAMILL RD STE 107",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051B HAMILL RD STE 107",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434092",
            "telephone_number": "423-877-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S SUMIDA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "SUMIDA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-877-4705",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "28047",
            "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 Mar 5, 2014; 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.