Individual provider Active NPI

Alexander L Sommers, MD

  • Emergency Medicine Physician
  • New London, WI
National Provider Identifier
1659432581
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
42405 Issued in WI
Practice address
1405 Mill St
New London, WI 54961-2155
Phone
(920) 531-2000
Fax
(920) 531-2098
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 42405 WI
Emergency Medicine Physician 207P00000X 42405 WI Primary

Addresses

Primary practice location

1405 Mill St
New London, WI 54961-2155

Mailing address

668 Maratech Ave # 4
Marathon, WI 54448-9007
Phone (888) 885-4434

Other practice location 1

100 County Road B
Shawano, WI 54166-7072
Phone (715) 526-2111

Other practice location 2

800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000

Other practice location 3

668 Maratech Ave # 4
Marathon, WI 54448-9007
Phone (888) 885-4434

Other practice location 4

601 Grove Ave
Wild Rose, WI 54984-6903
Phone (920) 622-3257

Other identifiers 1

IdentifierTypeStateIssuer
34262700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20041021000189 WI Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - AnesthesiologyPractitioner - Family Practice 7315845997 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42405WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare Medical Center - Waupaca, Inc. Current Accepting new patients
Ermed, SC Emergency Medicine Past Accepting new patients

Locations

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Interoperability endpoints

  • Direct secure messaging: alexander.sommers.1@32839.direct.athenahealth.com
  • Direct secure messaging: alexander.sommers@ahcss-wi.direct.office.nextgen.com

Organizations & group practices 2

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1659432581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 MARATECH AVE # 4",
            "city": "MARATHON",
            "state": "WI",
            "postal_code": "544489007",
            "telephone_number": "888-885-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MILL ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612155",
            "telephone_number": "920-531-2000",
            "fax_number": "920-531-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 County Road B",
            "address_purpose": "LOCATION",
            "city": "Shawano",
            "state": "WI",
            "postal_code": "541667072",
            "country_code": "US",
            "telephone_number": "715-526-2111",
            "fax_number": "715-526-7308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811943",
            "country_code": "US",
            "telephone_number": "715-258-1000",
            "fax_number": "715-258-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "668 Maratech Ave # 4",
            "address_purpose": "LOCATION",
            "city": "Marathon",
            "state": "WI",
            "postal_code": "544489007",
            "country_code": "US",
            "telephone_number": "888-885-4434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Wild Rose",
            "state": "WI",
            "postal_code": "549846903",
            "country_code": "US",
            "telephone_number": "920-622-3257",
            "fax_number": "920-622-5593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMMERS",
        "first_name": "ALEXANDER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "42405",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "42405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34262700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, WI

Sources for this page

Verify at the official NPI Registry.