Individual provider Active NPI

Lynn Francis Sumerson, D.O.

  • Otolaryngology Physician
  • Largo, FL
National Provider Identifier
1235139114
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
052218 Issued in FL
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
17050OtherBC BS
209436OtherAV MED.
50702OtherHEALTH 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
052218FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Institute of Balance Inc CurrentSince Jan 1, 2010 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.

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

Verify at the official NPI Registry.