Summit ENT Medical Associates

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SUMMIT ENT MEDICAL ASSOCIATES

Practice address

2961 Summit St
Suite 1
Oakland, CA 94609-3482

Phone

(510) 465-0941

Fax

(510) 465-0941

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew W. Moyce, M.D.

Title

President

Phone

(510) 465-0941

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1528020609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 SUMMIT ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093482",
            "telephone_number": "510-465-0941",
            "fax_number": "510-465-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 SUMMIT ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093482",
            "telephone_number": "510-465-0941",
            "fax_number": "510-465-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ENT MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "MOYCE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-465-0941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ49994Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0067410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Alexandra Summers, LCSW
• Jere Chardonae Summers
• Jeremy Summers
• Kelly Summers
• Kiah Summers
• Summit Hearing Assist, LLC
• Summit Podiatry Group
• Karen J. Sumner, MD
• Maria Ledesma Sumner
• Chantay Sumpter, RN

• Otolaryngology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.