Active NPI
Mark Robert Sumner, MD
- Anesthesiology Physician
- Oneida, NY
National Provider Identifier
1326036914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 1787851
- Practice address
- 210 Genesee Street
Oneida Healthcare Center
Oneida, NY 13421 - Phone
- (315) 463-5107
- Fax
- (315) 463-6029
- NPI assigned
- Oct 9, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 1787851 | NY | Primary |
Addresses
Primary practice location
210 Genesee Street
Oneida Healthcare Center
Oneida, NY 13421
Mailing address
104 1/2 College Street
Clinton, NY 13323
Phone (315) 463-5107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01340445 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1787851 | NY | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1326036914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 1/2 COLLEGE STREET",
"city": "CLINTON",
"state": "NY",
"postal_code": "13323",
"telephone_number": "315-463-5107",
"fax_number": "315-463-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 GENESEE STREET",
"address_2": "ONEIDA HEALTHCARE CENTER",
"city": "ONEIDA",
"state": "NY",
"postal_code": "13421",
"telephone_number": "315-463-5107",
"fax_number": "315-463-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "MARK",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-09",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "1787851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01340445",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oneida, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.