# JOHN J SUMMA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457430076
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21832 | NE | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 02/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0104157 | UNITEDHEALTHCARE | NE |
| 01 | — | 0104549 | UNITEDHEALTHCARE | NE |
| 01 | — | 231864 | MIDLANDS CHOICE | NE |
| 01 | — | 31497 | BCBS OF NEBRASKA | NE |
