CHAD SUMMERS PA-C NPI 1104556992

NPI Information

  • NPI: 1104556992
  • Provider Name: CHAD SUMMERS, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2945 S DOBSON RD
    MESA, AZ
    ZIP 85202
  • Phone: (480) 969-4138

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NPI Details

Chad Summers, PA-C is a medical physician assistant in Mesa, AZ. Chad Summers, PA-C NPI is 1104556992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2945 S DOBSON RD
MESA, AZ
ZIP 85202-941
Phone: (480) 969-4138
Fax: (480) 969-0630

The NPI 1104556992 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2022 and was last updated on 6/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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