DR. MARK ADAM SUMMERS (NPI# 1043295041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043295041 |
| Entity Type | Individual |
| Full Name | DR. MARK ADAM SUMMERS |
| Credential | MD |
| Practice Address |
697 Louisiana Rd 7th Mdg Dyess Afb TX 79607-1141 |
| Practice Telephone | 3256965490 |
| Mailing Telephone | 3256965490 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2012-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
0101102440 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174665210 | Mark A. Summers | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2007-02-13 |
| 1033198890 | Mark Summers | Nurse Anesthetist, Certified Registered | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2006-01-11 |
| Street Address |
697 LOUISIANA RD 7TH MDG |
| City | DYESS AFB |
| State | TX |
| Zip Code | 79607-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548810013 | Alexander Jeffrey Lawson | Military Health Care Provider | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-09-17 |
| 1467017905 | Joshua Lee Helmstadter | Dentist | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-05-09 |
| 1477118321 | Jordan Walsh | Social Worker | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-05-07 |
| 1104387299 | Rob Henry | Dentist | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-03-29 |
| 1790261436 | William Deleon Lawson | Physician Assistant | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2018-07-16 |
| 1528562709 | Dougls M Young | Preventive Medicine | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2018-03-21 |
| 1861994766 | Ian Christopher Sanford | Military Health Care Provider | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2018-03-06 |
| 1669987053 | Nikole Sprunger | Dietitian, Registered | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2017-12-06 |
| 1548780984 | Vinh Nguy | Family Medicine | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2017-06-27 |
| 1396275087 | Kyle Sansom | Dentist | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2017-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255636 | David Goodwin | Technician | 9201 Louisiana Dr, Dyess, TX 79607 | 2019-06-24 |
| 1952811572 | Whitney Howard | Pharmacist | 7 Mdg, 697 Louisiana Dr, Dyess Afb, TX 79607 | 2017-10-10 |
| 1114150455 | Sara Mccoskey | Military Health Care Provider | 697 Lousiann Dr, Dyess Afb Texas, Abilene, TX 79607 | 2009-09-03 |
| 1942246095 | Philip Ralph Barone | Dentist | 7 Amds/sgpd, Dyess Afb, Abilene, TX 79607 | 2006-06-20 |
| 1861452096 | Evelyn L Stender | Psychiatry & Neurology | 697 Hosp Rd, 7mdos/sgomh, Dyess Afb, TX 79607 | 2006-03-23 |
| 1508833021 | Alicia W Edwards | Social Worker | 697 Lousianna Dr, Dyess Afb, TX 79607 | 2006-03-02 |
| 1538133947 | Sandra Sue Rogers | Nurse Practitioner | 796 Louisiana Ave, Dyess Afb, TX 79607 | 2006-02-14 |
| 1457715369 | Jason Kelley | Social Worker | 697 Lousiana Drive, Dyess Afb, TX 79607 | 2016-04-06 |
| 1649519703 | William Mikizo Uechi | Physical Therapist | 697 Louisiana Drive, Dyess Afb, TX 79607 | 2013-02-10 |
| 1346577996 | Misti M Cox | Nurse Practitioner | 697 Louisiana Drive, Dyess Afb, TX 79607 | 2009-11-03 |
| Find all providers in zip 79607 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528562709 | Dougls M Young | Preventive Medicine | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2018-03-21 |
| 1982966420 | Andrew Mccraw Long | Preventive Medicine | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2012-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295267573 | Quinn Dufurrena | Preventive Medicine | 301 University Blvd # 1110, Galveston, TX 77555-1110 | 2017-03-28 |
| 1760841423 | Anant Shukla | Preventive Medicine | Mendoza Aviation Clinic (11335 Ssg Sims Blvd), El Paso, TX 79935 | 2016-02-23 |
| 1689069296 | Darryl George Demaris | Preventive Medicine | Texas A&m Hsc Com S&w Hospital, 2401 S. 31st Street - Ms-01-w256, Temple, TX 76508-0001 | 2015-03-31 |
| 1639505951 | Mark Richard Hannay | Preventive Medicine | 614 Mccain St Ste 310, Kingsville, TX 78363 | 2013-09-18 |
| 1407198823 | David Chase Rogers | Preventive Medicine | 1100 Wilfod Hall Loop, Bldg. 4556, Lackland Afb, TX 78236-9908 | 2013-03-24 |
| 1326387291 | Skin Institute | Preventive Medicine | 1901 Babcock Rd Ste 200, San Antonio, TX 78229-4545 | 2013-02-12 |
| 1710221742 | Conrad Ivan Dalton | Preventive Medicine | 98 S. Shawnee Ridge Circle, The Woodlands, TX 77382-2555 | 2012-11-15 |
| 1164766358 | Guillermo J. Salazar | Preventive Medicine | 2601 Meacham Blvd, Faa, Asw-300, Fort Worth, TX 76137-4204 | 2012-11-12 |
| 1609149681 | Lucky Lusterio | Preventive Medicine | 221 3rd St. W, Randolph Afb, TX 78150 | 2012-02-21 |
| 1205139367 | Kenneth Edward Cottle | Preventive Medicine | 148 S Bay Dr, Bullard, TX 75757-8929 | 2010-12-13 |
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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.