Individual provider Active NPI

David Summers, PA

  • Physician Assistant
  • Tipp City, OH
National Provider Identifier
1932485398
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003425 Issued in OH
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

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111213000521 OH Practitioner - Physician Assistant 3375718729 Reassigns benefits to 4 organizations

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
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

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

LicenseStateTypeSpecialty
50.003425OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Jun 1, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Jun 1, 2022 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.

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

Verify at the official NPI Registry.