BEN SUMNER PA NPI 1609271188

NPI Information

NPI: 1609271188
Provider Name: BEN SUMNER, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: GRANGER MEDICAL SPECIALISTS LLC

PECOS Registration: Yes

Address:
3725 W 4100 S
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 965-3600
Get Directions

Ben Sumner, PA is a medical physician assistant in West Valley City, UT with 10 years of experience. Ben Sumner, PA NPI is 1609271188. 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:

3725 W 4100 S
WEST VALLEY CITY, UT
ZIP 84120-530
Phone: (801) 965-3600

The NPI 1609271188 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 10/27/2014 and was last updated on 3/17/2018.

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
1	363AM0700X	Physician Assistant	Medical	52030	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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