DR. MARK ROBERT SUMERS (NPI# 1265495774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265495774 |
Entity Type | Individual |
Full Name | DR. MARK ROBERT SUMERS |
Credential | M.D., D.P.M. |
Practice Address |
1 Jarrett White Rd Tripler Army Medical Center Tamc HI 96859-5001 |
Practice Telephone | 8084333300 |
Mailing Telephone | 8084333300 |
Enumeration Date | 2006-04-07 |
Last Update Date | 2009-09-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 34641 | AZ | Allopathic & Osteopathic Physicians |
Y | 207Q00000X | Family Medicine | 13281 | HI | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 4301080614 | MI | Allopathic & Osteopathic Physicians |
N | 213E00000X | Podiatrist | E3300 | CA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4740479-10 | 05 |
Street Address |
1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER |
City | TAMC |
State | HI |
Zip Code | 96859-5001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548268188 | Millard Dalton Brown IIi | Psychiatry & Neurology | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2005-07-08 |
1801092689 | Susanna Naomi Holt | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-27 |
1104023712 | Phuoc T Nguyen | General Practice | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-27 |
1205032075 | David James Peterson | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-26 |
1366648685 | Charles Tri Nguyen | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-24 |
1194920546 | Valerie Lopes Pires Edmonds | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-17 |
1568667970 | Jordanna M Hostler | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-15 |
1336343987 | Eric Michael Swanson | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-14 |
1083818595 | Michael Emil Stoudmire | General Practice | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-11 |
1700080231 | Christina B Rumayor | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
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Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346221280 | Robert Christopher Neufeldt | Family Medicine | 1 Jarrett Road, Schofield Barracks Health Clinic, Tamc, HI 96859-5000 | 2005-11-08 |
1598817421 | Anastasia Marie Mckay | Family Medicine | 1 Jarrett White Rd, Tripler Army Medical Center Attn Mchk-qs, Tamc, HI 96859-5001 | 2007-01-18 |
1164537759 | Sebastian R Schnellbacher | Family Medicine | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2006-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225657307 | Healing Tides Primary Care LLC | Family Medicine | 1110 Nuuanu Ave # A1-182, Honolulu, HI 96817-5119 | 2020-04-09 |
1417597063 | Krissy Nichole English | Family Medicine | 65-1116 Hokuula Rd, Kamuela, HI 96743-8355 | 2020-01-12 |
1184288102 | Yoonhwan Roh | Family Medicine | 95-390 Kuahelani Ave # J1, Mililani, HI 96789-1192 | 2019-04-24 |
1427514645 | Ohana Pacific Medical LLC | Family Medicine | 94-1221 Ka Uka Blvd Unit 108-166, Waipahu, HI 96797-6202 | 2019-02-12 |
1265902555 | Liana Tsuruko Kobayashi | Family Medicine | 98-1005 Moanalua Rd Spc 3030, Aiea, HI 96701-4735 | 2018-11-28 |
1508332610 | Jasdo, Inc. | Family Medicine | 73-4330 Keo Keo Street, Kailua-kona, HI 96745 | 2018-10-16 |
1124506845 | Big Island Family Medicine Inc | Family Medicine | 670 Ponahawai St Ste 207, Hilo, HI 96720-7830 | 2018-08-03 |
1669961322 | Micah David | Family Medicine | 1188 Bishop St Ste 802a, Honolulu, HI 96813-3303 | 2018-05-08 |
1639666233 | Kahuku Medical Center | Family Medicine | 66-214 Haleiwa Rd, Haleiwa, HI 96712-1510 | 2018-04-18 |
1033627930 | Bridget Collins, Md, LLC | Family Medicine | 3175 Elua St Ste C, Lihue, HI 96766-1203 | 2018-01-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.