Active NPI
Lynn Francis Sumerson, D.O.
- Otolaryngology Physician
- Largo, FL
National Provider Identifier
1235139114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 052218
- Practice address
- 8200 Bryan Dairy Rd
Suite 340
Largo, FL 33777-1363 - Phone
- (727) 398-5728
- Fax
- (727) 398-4914
- NPI assigned
- Jul 21, 2005
- Last updated
- Mar 5, 2010
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 052218 | FL | Primary |
Addresses
Primary practice location
8200 Bryan Dairy Rd
Suite 340
Largo, FL 33777-1363
Mailing address
1600 Gulf Blvd. #512
Clearwater, FL 33767-2923
Phone (727) 596-8822
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17050 | Other | BC BS | |
| 209436 | Other | AV MED. | |
| 50702 | Other | HEALTH OPTIMAL BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052218 | FL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Institute of Balance Inc | Current | Accepting new patients |
Locations
8200 Bryan Dairy Rd
Ste 340
Seminole, FL 33777
Phone (727) 398-5728
Organizations & group practices 1
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.
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- Largo, FL
- NPI 1851392849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267747200000",
"number": "1235139114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 GULF BLVD. #512",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337672923",
"telephone_number": "727-596-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 BRYAN DAIRY RD",
"address_2": "SUITE 340",
"city": "LARGO",
"state": "FL",
"postal_code": "337771363",
"telephone_number": "727-398-5728",
"fax_number": "727-398-4914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMERSON",
"first_name": "LYNN",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2010-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "052218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "17050",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AV MED.",
"identifier": "209436",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH OPTIMAL BCBS",
"identifier": "50702",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.