Shawn K Summers, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PO60361202 Issued in WA

Practice address

2400 Racquet LN
Yakima, WA 98902-6109

Phone

(509) 225-3668

Fax

(509) 225-3448

NPI assigned

Apr 30, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fasa Family Wellness PLLCGroup PAC ID 7618290297, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssummers@usfas.emadirect.md
• Direct secure messaging: ssummers773570@direct.multicare.org
• Direct secure messaging: ssummers4919@yvfwc.direct-ci.com

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.

• Fasa Family Wellness, PLLC

  • Podiatrist
  • Tumwater, WA
  • NPI 1790181899

  Foot Surgery

  Medicare reassignment Care Compare group NPD
• Fasa Family Wellness PLLC

  • Foot & Ankle Surgery Podiatrist
  • Yakima, WA
  • NPI 1871506444

  Foot Surgery

  Medicare reassignment NPD
• Fasa Family Wellness PLLC

  • Foot & Ankle Surgery Podiatrist
  • Ellensburg, WA
  • NPI 1992513840

  Foot Surgery

  NPD
• Fasa Family Wellness, PLLC

  • Ambulatory Surgical Clinic/Center
  • Tumwater, WA
  • NPI 1255351714
  NPD
• Stuart Cardon

  • Ambulatory Surgical Clinic/Center
  • Yakima, WA
  • NPI 1376692129
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yakima Valley Memorial Hospital Association

  • General Acute Care Hospital
  • Yakima, WA
  • NPI 1053373480
  Care Compare affiliation

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1922443258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 RACQUET LN",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026109",
            "telephone_number": "509-225-3668",
            "fax_number": "509-225-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 RACQUET LN",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026109",
            "telephone_number": "509-225-3668",
            "fax_number": "509-225-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "SHAWN",
        "middle_name": "K",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WA",
            "license": "PO60361202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Louise Sugarman, LMHC
• Kelly Suko, RN
• Christian Sullivan
• Michelle Sullivan
• Hunter Nicole Sully
• Summit Solstice Counseling LLC
• Summitview Pediatric Dentistry
• Summitview Urgent Care Inc
• Jennifer Nichole Sumner, RN
• Sun Tower Partners LLLP

• Foot Surgery Podiatrist in Yakima, WA
• Providers in Yakima, WA by specialty
• Foot Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.
• 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.