Active NPI
Jay L Summer, M.D.
- Pulmonary Disease Physician
- Bay City, MI
National Provider Identifier
1720016918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4301063905
- Practice address
- 640 S Trumbull St
Bay City, MI 48708 - Phone
- (989) 893-7460
- Fax
- (989) 895-5813
- NPI assigned
- Jun 28, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 4301063905 | MI | Primary |
Addresses
Primary practice location
640 S Trumbull St
Bay City, MI 48708
Mailing address
840 S Trumbull Rd
Bay City, MI 48708-9616
Phone (989) 893-7460
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2900901371 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1004181 | Other | MI | MC LAREN HEALTH |
| 382424979100 | Other | MI | COMMUNITY CHOICE |
| P00284960 | Other | MI | METERAHEALTH |
| 2900901371 | Other | MI | BLUE CARE NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midmichigan Pulmonary, Assoc.;P.C. | Pulmonary Disease | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Bay City, MI
- NPI 1801825013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720016918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 S TRUMBULL RD",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487089616",
"telephone_number": "989-893-7460",
"fax_number": "989-895-5813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S TRUMBULL ST",
"city": "BAY CITY",
"state": "MI",
"postal_code": "48708",
"telephone_number": "989-893-7460",
"fax_number": "989-895-5813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMER",
"first_name": "JAY",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "4301063905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2900901371",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC LAREN HEALTH",
"identifier": "1004181",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE",
"identifier": "382424979100",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METERAHEALTH",
"identifier": "P00284960",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "2900901371",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.