DR. LISA MAUREEN SUMNER MD NPI 1962512012

NPI Information

NPI: 1962512012
Provider Name: DR. LISA MAUREEN SUMNER, MD
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
4212 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-1511
Get Directions

DR. Lisa Maureen Sumner, MD is a rheumatology internal medicine in Phoenix, AZ with 31 years of experience. The provider is 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. DR. Lisa Maureen Sumner, MD NPI is 1962512012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

4212 N 16TH ST
PHOENIX, AZ
ZIP 85016-319
Phone: (602) 263-1511
Fax: (602) 263-1637

The NPI 1962512012 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 8/30/2006 and was last updated on 7/9/2007.

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	207RR0500X	Internal Medicine	Rheumatology	30956	ARIZONA	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	Other Provider Identifier Issuer
1	H44658	MEDICARE UPIN	ARIZONA
2	418732	MEDICAID	ARIZONA
3	030078	MEDICARE OSCAR/CERTIFICATION	ARIZONA
4	8HD672	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	PART B
5	AZ0774220	OTHER	ARIZONA	BCBS

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: 4/28/2024

NPI Synchronization or Removal

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