Wendell Weston Sumner, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A-569-71 Issued in NM

Practice address

10110 Spain Rd NE
Albuquerque, NM 87111-1965

Phone

(505) 294-5065

Fax

(505) 298-2731

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Pediatric Health Services PC

  • Pediatric Adolescent Medicine Physician
  • Albuquerque, NM
  • NPI 1720109358
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1295733467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 SPAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111965",
            "telephone_number": "505-294-5065",
            "fax_number": "505-298-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 SPAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111965",
            "telephone_number": "505-294-5065",
            "fax_number": "505-298-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "WENDELL",
        "middle_name": "WESTON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "A-569-71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45245",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlow Summers, LMSW
• Stephen Monroe Summers, DOM
• William Koopmans Summers, MD
• Erica Summy, LMSW
• Michelle Lynn Sumner, B.S.
• Sun & Moon Psychological Services LLC
• Sun Country Healthcare Network
• Chia Ling Sun
• Chun-Xiao Sun, DMD,MS,MSD,PHD
• Gwen Y Sun, MD

• Pediatrics Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.