Active NPI
David Summers, PA
- Physician Assistant
- Tipp City, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.003425
- Practice address
- 6310 Jefferson Dr
Tipp City, OH 45371-7508 - Phone
- (937) 609-3352
- NPI assigned
- Oct 31, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.003425 | OH | Primary |
Addresses
Primary practice location
6310 Jefferson Dr
Tipp City, OH 45371-7508
Mailing address
6310 Jefferson Dr
Tipp City, OH 45371-7508
Phone (937) 609-3352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2131 Gateway Dr
Fairborn, OH 45324-6357
Phone (937) 873-9500
3286 Pentagon Blvd
Suite 10
Beavercreek, OH 45431-1789
Phone (937) 490-6511
3290 Village Dr
Middletown, OH 45005-5692
Phone (513) 422-7703
3604 Wilmington Pike
Kettering, OH 45429-4843
Phone (937) 294-0066
519 S Breiel Blvd
Middletown, OH 45044-5111
Phone (513) 433-1288
540 W Central Ave
Springboro, OH 45066-1110
Phone (513) 847-6778
5915 N Main St
Dayton, OH 45415-3104
Phone (937) 278-3826
7300 Beechmont Ave
Cincinnati, OH 45230-4119
Phone (513) 232-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.003425 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Springfield Emergency Physicians, Inc. | Past | Accepting new patients | |
| West Central Emergency Physicians | Past | Accepting new patients |
Locations
6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630
9300 State Route 14
Streetsboro, OH 44241
Phone (330) 471-6099
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
-
- Emergency Medicine Physician
- Wilmington, OH
- NPI 1093059164
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1982983425
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
-
- Emergency Medicine Physician
- Springfield, OH
- NPI 1407810534
-
- Emergency Medicine Physician
- Troy, OH
- NPI 1578558417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1932485398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 JEFFERSON DR",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453717508",
"telephone_number": "937-609-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 JEFFERSON DR",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453717508",
"telephone_number": "937-609-3352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "DAVID",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-31",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.003425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tipp City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.