Individual provider Active NPI

Jeffrey Allen Summerhill, D.O.

  • Emergency Medicine Physician
  • Eureka Springs, AR
National Provider Identifier
1922094432
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E3568 Issued in AR
Practice address
24 Norris St
Emergency Dept
Eureka Springs, AR 72632-3541
Phone
(479) 253-7400
NPI assigned
Sep 21, 2005
Last updated
Nov 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E3568 AR Primary
Family Medicine Physician 207Q00000X E3568 AR

Addresses

Primary practice location

24 Norris St
Emergency Dept
Eureka Springs, AR 72632-3541

Mailing address

PO Box 960454
Oklahoma City, OK 73196-0454
Phone (800) 684-1598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230316000814 AR Practitioner - General Practice 3678472149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
South Fork Health and Wellness LLC CurrentSince Aug 14, 2022 Accepting new patients
Jacksonville Emergency Medicine LLC Emergency Medicine Past Accepting new patients
Watch Care, LLC Family Medicine Past Accepting new patients
McGehee Desha County Hospital Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

106 W Locust St
Salem, AR 72576
Phone (870) 500-4225

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1922094432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960454",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960454",
            "telephone_number": "800-684-1598",
            "fax_number": "405-844-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NORRIS ST",
            "address_2": "EMERGENCY DEPT",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726323541",
            "telephone_number": "479-253-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERHILL",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E3568",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka Springs, AR

Sources for this page

Verify at the official NPI Registry.