Active NPI
Robert Summers II, CRNA
- Certified Registered Nurse Anesthetist
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 89155
- Practice address
- 5005 N Piedras St
Attn: Wbamc
El Paso, TX 79920-5001 - Phone
- (915) 569-4890
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R871416 | MS | |
| Certified Registered Nurse Anesthetist | 367500000X | 89155 | MS | Primary |
Addresses
Primary practice location
5005 N Piedras St
Attn: Wbamc
El Paso, TX 79920-5001
Mailing address
5005 N Piedras St
Attn: Wbamc
El Paso, TX 79920-5001
Phone (915) 569-4890
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06454851 | Medicaid | MS | |
| P01761809 | Other | MS | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Mississippi - University of Mississippi Medical Center
Practice addresses (Care Compare)
1030 River Oaks Dr
Flowood, MS 39232-9553
Phone (601) 932-1030
960 Avent Dr
Grenada, MS 38901-5230
Phone (662) 227-7000
Hospital & facility affiliations
- University of Mississippi Med Center
- Merit Health River Oaks
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R871416 | MS | MD | Registered Nurse |
| 89155 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sunflower County Hospital | Current | Accepting new patients | |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Willow Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Sunflower County Hospital | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Perioperative Services of Mississippi, LLC | Current | Accepting new patients | |
| Northstar Anesthesia of Mississippi, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jackson Anesthesia Associates PA | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi-University of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Sunflower County Hospital | Current | Accepting new patients | |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| State of Mississippi-University of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baptist Jackson Heart Cardiology Clinic-Yazoo City | Current | Accepting new patients |
Locations
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000
901 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 846-0061
634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393
2466 Flowood Dr
#A
Flowood, MS 39232
Phone (601) 326-9393
1053 River Oaks Dr
#C
Flowood, MS 39232
Phone (601) 969-1430
330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151
330 N Broad St
Forest, MS 39074
Phone (601) 469-4151
960 Avent Dr
#J
Grenada, MS 38901
Phone (662) 227-6450
960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000
121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
Organizations & group practices 19
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.
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1750300836
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
MS, Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Forest, MS
- NPI 1306909734
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1780737577
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
MS, Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
-
- Anesthesiology Physician
- Natchez, MS
- NPI 1124415567
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1881123123
-
- General Acute Care Hospital
- Indianola, MS
- NPI 1184679292
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Certified Registered Nurse Anesthetist
- Grenada, MS
- NPI 1831520691
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Oxford, MS
- NPI 1205169521
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1871856534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"address_2": "ATTN: WBAMC",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-569-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"address_2": "ATTN: WBAMC",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-569-4890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "ROBERT",
"name_suffix": "II",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "R871416",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "89155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06454851",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01761809",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.