Active NPI
Andrew G Summers, MD
- Pediatrics Physician
- Maitland, FL
National Provider Identifier
1215019856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME70411
- Practice address
- 800 N Maitland Ave Ste 102
Maitland, FL 32751-4499 - Phone
- (407) 660-7010
- Fax
- (407) 660-7106
- NPI assigned
- Oct 20, 2006
- Last updated
- Jul 31, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME70411 | FL | Primary |
Addresses
Primary practice location
800 N Maitland Ave Ste 102
Maitland, FL 32751-4499
Mailing address
800 N Maitland Ave Ste 102
Maitland, FL 32751-4499
Phone (407) 660-7010
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32106 | Other | FL | BCBS |
| 5752463 | Other | FL | AETNA |
| 250414600 | Medicaid | FL |
Other names 1
- Andrew Gernet Summers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME70411 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Physicians Network Inc | Current | Accepting new patients |
Locations
800 N Maitland Ave
Ste 102
Maitland, FL 32751
Phone (407) 660-7000
Interoperability endpoints
- asummers27044@orlandohealth.medalliesdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1215019856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N MAITLAND AVE STE 102",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514499",
"telephone_number": "407-660-7010",
"fax_number": "407-660-7106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N MAITLAND AVE STE 102",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514499",
"telephone_number": "407-660-7010",
"fax_number": "407-660-7106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "ANDREW",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME70411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "32106",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5752463",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250414600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREW",
"last_name": "SUMMERS",
"middle_name": "GERNET",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Maitland, FL
- Sugar 10 LLC
- Jennifer Sullivan, MS, CCC-SLP
- Marla Teresa Sullivan
- Michelle L Sullivan, LMHC
- Zhyani Sullivan
- Zachary Summers, DPT
- Summerwood Home Health Services of District 7, LLC (Palm Garden Home Health)
- Sun State Dermatology, LLC
- Sunshine Interventional Pain and Wellness Center LLC
- Sunshine Pediatrics of Central Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.