DR. DANIEL DAVID SUMROK M.D. NPI 1669461679

NPI Information

NPI: 1669461679
Provider Name: DR. DANIEL DAVID SUMROK, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1894 CEDAR ST
1301 PRIMACY PARKWAY
MC KENZIE, TN
ZIP 38201
Phone: (731) 352-0603

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NPI Details

DR. Daniel David Sumrok, M.D. is a family medicine in Mc Kenzie, TN. 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. DR. Daniel David Sumrok, M.D. NPI is 1669461679. 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:

1894 CEDAR ST
1301 PRIMACY PARKWAY
MC KENZIE, TN
ZIP 38201-206
Phone: (731) 352-0603
Fax: (731) 352-0185

The NPI 1669461679 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 10/21/2005 and was last updated on 3/29/2018.

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	2084A0401X	Psychiatry & Neurology	Addiction Medicine	21860	TENNESSEE	No
2	207Q00000X	Family Medicine		MD0000021860	TENNESSEE	Yes

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
1	207113001	MEDICAID	ARKANSAS
2	03488833	MEDICAID	MISSISSIPPI
3	3063617	MEDICAID	TENNESSEE

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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