Active NPI
Alexander L Sommers, MD
- Emergency Medicine Physician
- New London, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 42405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34262700 | Medicaid | WI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42405 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- alexander.sommers.1@32839.direct.athenahealth.com
- 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.
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1710333893
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1023076296
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.