Evelyn Ruth Sommariva, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005023 Issued in MI

Practice address

285 N. Lilley Rd
Canton, MI 48187-4849

Phone

(734) 495-1506

Fax

(734) 495-1780

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Evelyn Ruth Warner Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Specialists of Canton PLLC 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Dermatology Specialists of Canton, PLLC

  • Dermatology Physician
  • Canton, MI
  • NPI 1003069014

  MI

  Medicare reassignment Care Compare group
• S L Husain Hamzavi MD PC

  • Dermatology Physician
  • Clinton TWP, MI
  • NPI 1407943962
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Mercy Hospital

  • General Acute Care Hospital
  • Ypsilanti, MI
  • NPI 1780658443

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1619167657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43151 DALCOMA DR",
            "address_2": "SUITE 1",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386306",
            "telephone_number": "586-286-8720",
            "fax_number": "586-286-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N. LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874849",
            "telephone_number": "734-495-1506",
            "fax_number": "734-495-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMARIVA",
        "first_name": "EVELYN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "0F31794",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "WARNER",
            "middle_name": "RUTH",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Snyder-Hughes, DC
• Marcelina Reyes Socie, ACNP-C
• Niketa A Solanki, RPT
• Quintin Solano
• Gloria Jean Soluk, LMSW
• Rogelio Lopez Soriano, RN CRNI
• Kassem Soufan, MD
• Dayse Sousa, OTRL
• Southeastern Michigan Anesthesia
• Gary Stevens Sowpel, PHARMACIST

• All providers in Canton, MI
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.