NPIMap

Organization Active NPI

Joshua a Summers MD PA

  • Family Medicine Physician
  • Inverness, FL
National Provider Identifier
1679828552
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME91020 Issued in FL
Legal business name
JOSHUA A SUMMERS MD PA
Practice address
3878 E Country Side Dr
Inverness, FL 34452-8834
Phone
(352) 634-2207
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Dr. Joshua Alton Summers, MDNPI 1619954328
Title
President
Phone
(352) 634-2207

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME91020 FL Primary

Addresses

Primary practice location

3878 E Country Side Dr
Inverness, FL 34452-8834

Mailing address

3878 E Country Side Dr
Inverness, FL 34452-8834
Phone (352) 634-2207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120912000480 FL Part B Supplier - Clinic/Group Practice 2466600721 Receives reassigned benefits from 3 practitioners
Practice locations: Inverness, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

206 S Apopka Ave
Inverness, FL 34452
Phone (352) 341-4160

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECICAD

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1679828552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3878 E COUNTRY SIDE DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344528834",
            "telephone_number": "352-634-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3878 E COUNTRY SIDE DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344528834",
            "telephone_number": "352-634-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA A SUMMERS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ALTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-634-2207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME91020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.