Individual provider Active NPI

Emily E Sumner, PA-C

  • Physician Assistant
  • Sykesville, MD
National Provider Identifier
1699069310
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004815 Issued in MD
Practice address
5965 Exchange Dr Ste a-B
Sykesville, MD 21784-9254
Phone
(410) 552-8126
Fax
(443) 458-7220
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X C0004815 MD Primary

Addresses

Primary practice location

5965 Exchange Dr Ste a-B
Sykesville, MD 21784-9254

Mailing address

5965 Exchange Dr Ste a-B
Sykesville, MD 21784-9254
Phone (410) 552-8126

Other names 1

  • Emily E Wollenweber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121026000598 MD Practitioner - Physician Assistant 3173792587 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Wilbur Kuo & Associates Internal Medicine LLC CurrentSince Jun 16, 2024 Accepting new patients
Carroll Health Group, LLC CurrentSince Jun 20, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5965 Exchange Dr
Ste Ab
Sykesville, MD 21784
Phone (410) 552-8126

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

Organizations & group practices 4

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1699069310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 EXCHANGE DR STE A-B",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217849254",
            "telephone_number": "410-552-8126",
            "fax_number": "443-458-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 EXCHANGE DR STE A-B",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217849254",
            "telephone_number": "410-552-8126",
            "fax_number": "443-458-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "EMILY",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "WOLLENWEBER",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sykesville, MD

Sources for this page

Verify at the official NPI Registry.