Michael Alexander Sumner, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0102205675 Issued in VA

Practice address

Nas Oceana Branch Medical Clinic
1640 Tomcat Blvd
Virginia Beach, VA 23460

Phone

(757) 953-3790

NPI assigned

Apr 10, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: msumner1037739@direct.unc.nchie.net

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1619400249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 TOMCAT BLVD",
            "address_2": "BHC OCEANA",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAS OCEANA BRANCH MEDICAL CLINIC",
            "address_2": "1640 TOMCAT BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23460",
            "telephone_number": "757-953-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102205675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Sullivan, MEDICAL INTERPRETER
• William A Sullivan, DPT
• Sully'S Run Equine Services, LLC
• Trae'Vis Sumler
• Jasmine Summerlin
• Quazion Sumner
• David Sun
• Qian Sun
• Tommy Sun, M.D.
• Suncrest Hospice Virginia Beach LLC

• General Practice Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.

Verify at the official NPI Registry.