Active NPI
Jeffrey Allen Summerhill, D.O.
- Emergency Medicine Physician
- Eureka Springs, AR
National Provider Identifier
1922094432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E3568
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230316000814 | AR | Practitioner - General Practice | 3678472149 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Fork Health and Wellness LLC | Current | 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.
-
- General Practice Physician
- Salem, AR
- NPI 1528731155
-
- Emergency Medicine Physician
- Jacksonville, AR
- NPI 1093044166
-
dba Legacy Hospice of North Arkansas
- Community Based Hospice Care Agency
- Salem, AR
- NPI 1609995653
Family Medicine
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.