MARY I. SUMMERSON (NPI# 1487698593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487698593 |
| Entity Type | Individual |
| Full Name | MARY I. SUMMERSON |
| Credential | CRNP |
| Practice Address |
14 Plumber St Warren PA 16365-1202 |
| Practice Telephone | 8147232323 |
| Practice Fax Number | 8147263337 |
| Mailing Telephone | 8147232323 |
| Mailing Fax Number | 8147263337 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
SP008969 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UNIVERA HEALTHCARE | 00027486901 | 01 |
| Street Address |
14 PLUMBER ST |
| City | WARREN |
| State | PA |
| Zip Code | 16365-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760463574 | Joseph John Maljovec | Specialist | 14 Plumber St, Warren, PA 16365-1202 | 2005-11-09 |
| 1316982341 | Warren Healthcare Associates, Inc | Specialist | 14 Plumber St, Warren, PA 16365-1202 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558433979 | Lynda Witcoski | Nurse Practitioner | 34 Mountain Blvd, Warren, NJ 07059-2640 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508360538 | Melissa Mosczczynski | Nurse Practitioner | 9815 Roosevelt Blvd Ste C, Philadelphia, PA 19114-1035 | 2018-03-23 |
| 1689197873 | Rebecca Silver | Nurse Practitioner | 4807 Freemansburg Ave Ste 250, Easton, PA 18045-5522 | 2017-07-20 |
| 1376817569 | Lolita Maria Vaughan | Nurse Practitioner | 9501 Roosevelt Ave., Suite 404, Philadelphia, PA 19114 | 2012-03-06 |
| 1942596879 | Rose Wassel | Nurse Practitioner | 105 Firethorn Rd, Baden, PA 15005-2619 | 2011-06-20 |
| 1134424476 | Barrie Sydelle Essner | Nurse Practitioner | 1 Azalea Cir, Lafayette Hill, PA 19444-2102 | 2011-01-18 |
| 1215246780 | Casandra B. Gaffney | Nurse Practitioner | 600 E Marshall St Ste 205, West Chester, PA 19380-4453 | 2010-10-01 |
| 1174763601 | Lucinda A Reichley | Nurse Practitioner | 644 E High St Rear, Planned Parenthood, Pottstown, PA 19464-5762 | 2009-02-24 |
| 1912165960 | Doylestown Gynecology | Nurse Practitioner | 14 Memorial Dr, Ste A, Doylestown, PA 18901-3529 | 2008-05-27 |
| 1457536286 | Ruth Agers Rice | Nurse Practitioner | Cwm Seventeenth and Chew, Suite 100, Allentown, PA 18105 | 2007-12-28 |
| 1285768192 | Margaret Brown | Nurse Practitioner | 728 W Lincoln Hwy Fl 2, Exton, PA 19341 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
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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.