Organization Active NPI

David B. Summer M.D., P.C.

  • Ophthalmology Physician
  • Alexandria, VA
National Provider Identifier
1619215571
Registry record updated Jan 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101028478 Issued in VA
Legal business name
DAVID B. SUMMER M.D., P.C.
Practice address
8101 Hinson Farm Rd
Suite 103
Alexandria, VA 22306-3403
Phone
(703) 360-0111
Fax
(703) 799-1126
NPI assigned
Jan 27, 2013
Last updated
Jan 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2013

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

Authorized official

Name
Dr. David Benjamin Summer, M.D.NPI 1003814534
Title
President
Phone
(703) 360-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 0101028478 VA Primary

Addresses

Primary practice location

8101 Hinson Farm Rd
Suite 103
Alexandria, VA 22306-3403

Mailing address

8101 Hinson Farm Rd
Suite 103
Alexandria, VA 22306-3403
Phone (703) 360-0111

Other identifiers 1

IdentifierTypeStateIssuer
6370675MedicaidVA

National Provider Directory

National Provider Directory

Locations

8101 Hinson Farm Rd
Ste 103
Alexandria, VA 22306
Phone (703) 360-0111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359244800000",
    "number": "1619215571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE 103",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-360-0111",
            "fax_number": "703-799-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE 103",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-360-0111",
            "fax_number": "703-799-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. SUMMER M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-27",
        "last_updated": "2013-01-27",
        "status": "A",
        "authorized_official_last_name": "SUMMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-360-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101028478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6370675",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2013; 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.