Ross Summers MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301074604 Issued in MI

Legal business name

ROSS SUMMERS MD PLLC

Practice address

308 S Main St
Northville, MI 48167-1646

Phone

(248) 349-0627

Fax

(248) 380-9365

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ross A Summers, M.D.NPI 1689693590

Title

Physician Owner

Phone

(248) 349-0627

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• Medical Clinic of Northville Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ross Allen Summers, M.D.

  • Family Medicine Physician
  • Northville, MI
  • NPI 1689693590
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Cislo

  • Physician Assistant
  • Detroit, MI
  • NPI 1831962406
  Medicare reassignment Care Compare group NPD
• Mirella F. Ducu, M.D.

  • Internal Medicine Physician
  • West Bloomfield, MI
  • NPI 1528136066
  Medicare reassignment Care Compare group NPD
• Olivia Maes, PA-C

  • Physician Assistant
  • Northville, MI
  • NPI 1518728757
  Medicare reassignment Care Compare group NPD
• Kathryn Marie Poulos

  • Physician Assistant
  • Plymouth, MI
  • NPI 1083988323
  Medicare reassignment Care Compare group
• Shannon J Schwab, DO

  • Family Medicine Physician
  • North Mankato, MN
  • NPI 1548245012

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1295865954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S MAIN ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671646",
            "telephone_number": "248-349-0627",
            "fax_number": "248-380-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S MAIN ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671646",
            "telephone_number": "248-349-0627",
            "fax_number": "248-380-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS SUMMERS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "248-349-0627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301074604",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301057732",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301071154",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301082667",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301068380",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301058039",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301046792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB2510",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI BLUE CROSS AND BLUE SH",
            "identifier": "0H24993",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Clinic of Northville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Mary Rohlig, D.C.
• Rommel Rojas, PHYSICAL THERAPIST
• Firdaus Ruby Rosario, PHARMD
• Amanda Rose-Horne, LMSW
• Julie Megan Rosenthal, MD
• Kori F Rothman, D.O
• Amy E Ruschak, MSW LMSW
• Sachit Rustagi
• Caitlin Ryan, DMD
• Fuad Saba, PHARMD

• Family Medicine Physician in Northville, MI
• Providers in Northville, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.