Organization Active NPI

Summers Neurosurgery, LLC

  • Non-Pharmacy Dispensing Site
  • Hammond, LA
National Provider Identifier
1437690146
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD.024426 Issued in LA
Legal business name
SUMMERS NEUROSURGERY, LLC
Practice address
15739 Professional PLZ
Hammond, LA 70403-1452
Phone
(985) 419-7767
Fax
(877) 427-2307
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Mackenzie Hahn
Title
Ncpdp Coordinator
Phone
(479) 636-9702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X MD.024426 LA Primary

Addresses

Primary practice location

15739 Professional PLZ
Hammond, LA 70403-1452

Mailing address

PO Box 3328
Bentonville, AR 72712
Phone (479) 636-9702

National Provider Directory

National Provider Directory
Tax ID family
Summers Neurosurgery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15739 Professional Plz
Hammond, LA 70403
Phone (985) 288-5088

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1437690146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3328",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-636-9702",
            "fax_number": "877-427-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15739 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-419-7767",
            "fax_number": "877-427-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS NEUROSURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "NCPDP COORDINATOR",
        "authorized_official_telephone_number": "479-636-9702"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "LA",
            "license": "MD.024426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.