Individual provider Active NPI

Susan R Sommer, CNM

  • Advanced Practice Midwife
  • Toledo, OH
National Provider Identifier
1720086598
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NM-08141 Issued in OH
Practice address
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone
(419) 291-8541
Fax
(419) 480-1340
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 08141 OH
Adult Health Nurse Practitioner 363LA2200X NP08087 OH
Advanced Practice Midwife 367A00000X NM-08141 OH Primary

Addresses

Primary practice location

2142 N Cove Blvd
Toledo, OH 43606-3895

Mailing address

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-8541

Other identifiers 7

IdentifierTypeStateIssuer
344428256OtherOHFRONTPATH
4702342MedicaidMI
000000363075OtherOHANTHEM
05225OtherOHPARAMOUNT
4702351MedicaidMI
2543233MedicaidOH
344428256OtherOHBEECHSTREET

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssommer7795@epicdirect.promedica.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000668 OH Practitioner - Certified Nurse Midwife (CNM) 1355394446 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
08141OHMDMidwife
NP08087OHMDAdult Health Nurse Practitioner
NM-08141OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
The Toledo Hospital CurrentSince Jan 12, 2005 Accepting new patients
Promedica Central Physicians CurrentSince Feb 1, 2010 Accepting new patients
The Toledo Hospital CurrentSince Jan 12, 2005 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Bay Park Community Hospital CurrentSince Sep 23, 2020 Accepting new patients
The Toledo Hospital Current Accepting new patients
Promedica Central Physicians CurrentSince Feb 1, 2010 Accepting new patients
Memorial Professional Services LTD CurrentSince Dec 1, 2016 Accepting new patients
University of Toledo Physicians LLC Past Accepting new patients
Bay Park Community Hospital Past Accepting new patients

Locations

1076 W McPherson Hwy
Ste 1
Clyde, OH 43410

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

455 W 4th St
Ste 20
Fostoria, OH 44830

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

1922 Glen Springs Dr
Fremont, OH 43420
Phone (419) 333-2798

5705 Monclova Rd
Maumee, OH 43537
Phone (419) 893-3321

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

650 Beaver Creek Cir
Ste 130
Maumee, OH 43537
Phone (419) 891-6210

2751 Bay Park Dr
Ste 302
Oregon, OH 43616
Phone (419) 690-7550

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

2751 Bay Park Dr
Ste 300
Oregon, OH 43616
Phone (419) 690-7596

3156 Dustin Rd
Ste 203
Oregon, OH 43616
Phone (419) 698-1514

1854 E Perry St
Ste 4
Port Clinton, OH 43452

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Interoperability endpoints

  • Direct secure messaging: ssommer7795@direct.promedica.org

Organizations & group practices 10

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1720086598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-291-8541",
            "fax_number": "419-480-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-291-8541",
            "fax_number": "419-480-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMER",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "08141",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP08087",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "NM-08141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRONTPATH",
            "identifier": "344428256",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4702342",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000363075",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "05225",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4702351",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2543233",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "344428256",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssommer7795@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.