Active NPI
Courtney Marie Sumner
- Pediatrics Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.135941
- Practice address
- 3430 Burnet Ave, Medical Office Building 2ND Floor
ML 5026
Cincinnati, OH 45229-3026 - Phone
- (513) 636-7722
- Fax
- (513) 636-3737
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 35.135941 | OH | Primary |
Addresses
Primary practice location
3430 Burnet Ave, Medical Office Building 2ND Floor
ML 5026
Cincinnati, OH 45229-3026
Mailing address
3333 Burnet Ave, ML 5021
Cincinnati, OH 45229-3818
Phone (513) 636-4225
Other practice location 1
571 S Floyd St
Suite 412
Louisville, KY 40202-3818
Phone (502) 629-8828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center | Pediatrics | Current | Accepting new patients |
| CHMC Community Health Services Network | Pediatrics | Current | Accepting new patients |
| CHMC Community Health Services Network | Pediatrics | Current | Accepting new patients |
| CHMC Community Health Services Network | Pediatrics | Past | Accepting new patients |
| Montgomery Pediatrics Incorporated | Past | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
3430 Burnet Ave
Ofc
Cincinnati, OH 45229
Phone (513) 636-7722
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
7502 State Rd
Ste 3350
Cincinnati, OH 45255
Phone (513) 231-3345
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/FmRItZc30RH60LjxwsIxQM4HGo6XcQXK/
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/8872/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1023637774
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1245821271
-
- Preferred Provider Organization
- Cincinnati, OH
- NPI 1194917062
-
- Pediatrics Physician
- Batesville, IN
- NPI 1053464305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1609238773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE, ML 5021",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293818",
"telephone_number": "513-636-4225",
"fax_number": "513-636-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 BURNET AVE, MEDICAL OFFICE BUILDING 2ND FLOOR",
"address_2": "ML 5026",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-7722",
"fax_number": "513-636-3737"
}
],
"practiceLocations": [
{
"address_1": "571 S Floyd St",
"address_2": "Suite 412",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402023818",
"country_code": "US",
"telephone_number": "502-629-8828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMNER",
"first_name": "COURTNEY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.135941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.