Daniel D Sumrok, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD21860 Issued in TN

Legal business name

DANIEL D SUMROK, MD

Doing business as

UT Med Group

Practice address

1894 Cedar St
MC Kenzie, TN 38201-2206

Phone

(731) 352-0603

Fax

(731) 352-0185

NPI assigned

Dec 11, 2006

Last updated

Apr 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel D SumrokNPI 1669461679

Title

MD

Phone

(731) 352-0603

Specialties & licenses 1

Addresses

Other names 1

• UT Med Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel David Sumrok, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • McKenzie, TN
  • NPI 1669461679
  Authorized official Same address or phone

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1902966153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 CEDAR ST",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012206",
            "telephone_number": "731-352-0603",
            "fax_number": "731-352-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 CEDAR ST",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012206",
            "telephone_number": "731-352-0603",
            "fax_number": "731-352-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D SUMROK, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "SUMROK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "731-352-0603"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD21860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Med Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherry Denise Connell, BCBA
• Grace Cooper, ATC
• Cornerstone Health Care of McKenzie, Inc. (Oak Manor Health Care Center)
• Nikki Crosser, DPT, LAT ATC
• Patricia Cunningham, LCSW
• Madison Brooke Decker, PHARMD
• Robert Allan Eldredge, ATC
• William Jason Essary, ATC
• Lauren Alaine Fields, LCSW
• Donna Flowers

• Family Medicine Physician in McKenzie, TN
• Providers in McKenzie, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.