DR. LISA MAUREEN SUMNER


Address: 4212 N 16th St, Phoenix, AZ 85016-5319
Phone: 6022631511

DR. LISA MAUREEN SUMNER (NPI# 1962512012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962512012
Entity Type Individual
Full Name DR. LISA MAUREEN SUMNER
Credential MD
Practice Address 4212 N 16th St
Phoenix
AZ 85016-5319
Mailing Address Po Box 31001-0698
Pasadena
CA 91110-0698
Practice Telephone 6022631511
Practice Fax Number 6022631637
Mailing Telephone 6022631511
Mailing Fax Number 6022631637
Enumeration Date 2006-08-30
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
30956 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 418732 05
AZ BCBS AZ0774220 01

Office Location

Street Address 4212 N 16TH ST
City PHOENIX
State AZ
Zip Code 85016-5319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184627648 Judy Marie Pinsonneault Family Medicine 4212 N 16th St, Phoenix, AZ 85016-5319 2005-05-27
1568071348 Christopher Tran Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-07-28
1659980480 Corinne Easterling Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-07-28
1598383192 Tamika Howard Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-07-09
1659901544 Joseph Maloy Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-01-20
1437709680 Kymberly Sue Ludwig Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2019-09-18
1962052746 Jamie C Wilson Registered Nurse 4212 N 16th St, Phoenix, AZ 85016-5319 2019-09-13
1427602721 Jonathon Andrew Marquez Respiratory Therapist, Certified 4212 N 16th St, Phoenix, AZ 85016-5319 2019-07-25
1700441664 Douglas Edward Henry Physical Therapist 4212 N 16th St, Phoenix, AZ 85016-5319 2019-05-07
1982189205 Rachael Renina Hunter Edwards Psychologist 4212 N 16th St, Phoenix, AZ 85016-5319 2018-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134337918 Thomas Frederick Disney Internal Medicine 4123 E Paradise Dr, Phoenix, AZ 85028-1511 2007-05-18
1780781732 Theresa R Nieman Internal Medicine 650 E Indian School Rd # 111-d, Phoenix, AZ 85012-1839 2006-09-20
1255955191 Kenneth G. Lawlor, Do, Pllc Internal Medicine 2060 W Whispering Wind Dr Ste 264, Phoenix, AZ 85085-2869 2020-06-06
1295095495 Nikila V. Kumar Internal Medicine 4550 E Bell Rd Ste 170, Phoenix, AZ 85032-9385 2012-05-22
1265712475 Phyllis Sydney Reuss Internal Medicine 1300 N 12th St, Suite 618, Phoenix, AZ 85006-2877 2011-08-18
1538484993 District Medical Group, Inc Internal Medicine 2601 E Roosevelt St, Rheumatology, Phoenix, AZ 85008-4973 2010-03-29
1689996886 Arthritis Care Specialists PC Internal Medicine 1300 N 12th St, #618, Phoenix, AZ 85006-2848 2010-02-16
1982834321 Joonhee Lim Internal Medicine 4550 E Bell Rd Ste 170, Phoenix, AZ 85032 2009-07-20
1275789877 Daniel Edward Kreutz Internal Medicine 4550 E Bell Rd, Suite 170, Phoenix, AZ 85032-9306 2008-08-14
1053588020 Joseph M Kennedy Internal Medicine 650 East Indian School Road, Phoenix, AZ 85012 2008-05-09
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Competitor

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City PHOENIX
Zip Code 85016

Improve Information

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Dataset Information

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.

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