Individual provider Active NPI

Rick J. Sumrok, MD

  • Emergency Medicine Physician
  • Clarion, PA
National Provider Identifier
1255333084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD423650 Issued in PA
Practice address
1 Hospital Dr
Clarion, PA 16214-8501
Phone
(814) 226-1336
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD423650 PA Primary

Addresses

Primary practice location

1 Hospital Dr
Clarion, PA 16214-8501

Mailing address

220 10TH St
Aspinwall, PA 15215-1608
Phone (724) 413-4613

Other identifiers 1

IdentifierTypeStateIssuer
0019714270003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000213 PA Practitioner - Emergency Medicine 0446215974 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Punxsutawney Area Hospital Inc. CurrentSince Mar 1, 2017 Accepting new patients
Punxsutawney Area Hospital Inc Current Accepting new patients
Punxsutawney Area Hospital Inc CurrentSince Mar 1, 2017 Accepting new patients
Punxsutawney Area Hosp Em Med Fpa Past Accepting new patients
Washington Hospital Emergency Medicine Past Accepting new patients

Locations

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255333084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 10TH ST",
            "city": "ASPINWALL",
            "state": "PA",
            "postal_code": "152151608",
            "telephone_number": "724-413-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148501",
            "telephone_number": "814-226-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMROK",
        "first_name": "RICK",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD423650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019714270003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

Verify at the official NPI Registry.