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ROSS SUMMERS MD PLLC NPI 1295865954


NPI Information

NPI: 1295865954
Provider Name: ROSS SUMMERS MD PLLC

Doing Business As: MEDICAL CLINIC OF NORTHVILLE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0374830

Address:
308 S MAIN ST
NORTHVILLE, MI
ZIP 48167
Phone: (248) 349-0627
Get Directions

ROSS SUMMERS MD PLLC is a family medicine in Northville, MI. The provider is 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. ROSS SUMMERS MD PLLC NPI is 1295865954. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Clinic Of Northville.

The provider's business location address is:

308 S MAIN ST
NORTHVILLE, MI
ZIP 48167-646
Phone: (248) 349-0627
Fax: (248) 380-9365

The provider's authorized official is Ross A Summers .
The authorized official title is Physician Owner and has the following contact phone number (248) 349-0627.

The CLIA number assigned to this NPI record is 23D0374830 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 1/11/2011.


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
1207Q00000XFamily Medicine4301057732MICHIGANNo
2207Q00000XFamily Medicine4301071154MICHIGANNo
3207R00000XInternal Medicine4301068380MICHIGANNo
42085R0202XRadiologyDiagnostic Radiology4301058039MICHIGANNo
5208600000XSurgery4301046792MICHIGANNo
6207Q00000XFamily Medicine4301082667MICHIGANNo
7207Q00000XFamily Medicine4301074604MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10H24993OTHERMICHIGANMI BLUE CROSS AND BLUE SH
20M94870MEDICARE PINMICHIGAN
3CB2510OTHERMICHIGANRAILROAD MEDICARE

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.