Jeffrey Lee Summers, DC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

441 Issued in WV

Practice address

4317 Maccorkle Ave SE
Charleston, WV 25304-2503

Phone

(304) 925-0377

Fax

(304) 925-0461

NPI assigned

Aug 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthquest Therapy and Wellness

  • Physical Therapist
  • Charleston, WV
  • NPI 1386729804
  Authorized official Same address or phone
• James D. Midkiff, DC, CC

  • Chiropractor
  • Charleston, WV
  • NPI 1225471899
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407961634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4003",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253644003",
            "telephone_number": "304-925-0377",
            "fax_number": "304-925-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042503",
            "telephone_number": "304-925-0377",
            "fax_number": "304-925-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WV",
            "license": "441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131439000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kacee Sullivan
• Lisa Carol Sullivan, FNP-BC
• Rebecca Oyler Sullivan, CRNA
• Sara Sullivan
• Cherie Summers
• Stephen L. Summers, PT
• Taylor Mackenzie Summers, PA-C
• Summit BHC West Virginia LLC (Highland Hospital)
• Summit BHC West Virginia LLC (Highland Health Center)
• Summit BHC West Virginia LLC (Highland Residential)

• Orthopedic Chiropractor in Charleston, WV
• Providers in Charleston, WV by specialty
• Orthopedic Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.