Organization Active NPI

Summers Neurosurgery, LLC

  • Neurological Surgery Physician
  • Hammond, LA
National Provider Identifier
1184726721
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
024426 Issued in LA
Legal business name
SUMMERS NEUROSURGERY, LLC
Practice address
15739 Professional PLZ
Hammond, LA 70403-1452
Phone
(985) 419-7767
Fax
(985) 419-7771
NPI assigned
Sep 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Lori E Summers, MDNPI 1811943996
Title
Owner
Phone
(985) 419-7767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 024426 LA Primary

Addresses

Primary practice location

15739 Professional PLZ
Hammond, LA 70403-1452

Mailing address

15739 Professional PLZ
Hammond, LA 70403-1452
Phone (985) 419-7767

Other identifiers 1

IdentifierTypeStateIssuer
1568643MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061219000063 LA Part B Supplier - Clinic/Group Practice 1759380892 Receives reassigned benefits from 1 practitioner
Practice locations: Hammond, LA
O20120625000479 LA DME Supplier - Physician - Neurosurgery 1759380892 Practice locations: Hammond, LA

National Provider Directory

National Provider Directory
Tax ID family
Summers Neurosurgery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1184726721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15739 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-419-7767",
            "fax_number": "985-419-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15739 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-419-7767",
            "fax_number": "985-419-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS NEUROSURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-03",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-419-7767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "024426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568643",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.