William D.Summers MD, Gynecology LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

00014623 Issued in AL

Legal business name

WILLIAM D.SUMMERS MD, GYNECOLOGY LLC

Practice address

52 Medical Park East Drive
Suite 215
Birmingham, AL 35235-3430

Phone

(205) 838-3740

Fax

(205) 838-3845

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gwen Goodman

Title

Office Manager

Phone

(205) 838-3740

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1821190133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK EAST DRIVE",
            "address_2": "SUITE 215",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353430",
            "telephone_number": "205-838-3740",
            "fax_number": "205-838-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK EAST DRIVE",
            "address_2": "SUITE 215",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353430",
            "telephone_number": "205-838-3740",
            "fax_number": "205-838-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D.SUMMERS MD, GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-838-3740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "00014623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821190133",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PAYOR MEDICAID OF ALABAMA",
            "identifier": "529925880",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051530187",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Willett-Caldwell, MD
• Lisa Willett
• Matthew G Willette, PHARMD
• Christopher Willey
• Gabrielle Willhelm, MD
• William P. Buck, Jr., DMD, PC
• William R Bates DMD Ms LLC
• Candace Michele Williams Carmichael, CRNP
• Madison Clarke Williams Chen, MD
• Lisa Williams Scrivener, RPH

• Specialist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.