Individual provider Active NPI

Michael H Sumko, DO

  • Orthopaedic Surgery Physician
  • Brigham City, UT
National Provider Identifier
1609987270
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
921804321204 Issued in UT
Practice address
990 Medical Dr
Suite G5
Brigham City, UT 84302-4713
Phone
(435) 734-2151
Fax
(435) 734-2192
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 921804321204 UT Primary

Addresses

Primary practice location

990 Medical Dr
Suite G5
Brigham City, UT 84302-4713

Mailing address

990 Medical Dr
Suite G5
Brigham City, UT 84302-4713
Phone (435) 734-2151

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 Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
921804321204UTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham City Orthopedic LLC Orthopaedic Surgery PastSince Aug 1, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ddh149@orthoutah.direct.myupdox.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1609987270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MEDICAL DR",
            "address_2": "SUITE G5",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024713",
            "telephone_number": "435-734-2151",
            "fax_number": "435-734-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MEDICAL DR",
            "address_2": "SUITE G5",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024713",
            "telephone_number": "435-734-2151",
            "fax_number": "435-734-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMKO",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "921804321204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.