Individual
JAMES EDWARD SUMNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8081 TOWNSHIP LINE RD STE 200, INDIANAPOLIS, IN 46260-2188
(317) 415-8070
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01032931A
IN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01032931A
IN
208000000X
Pediatrics Physician
01032931A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
01032931A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100191990
—
IN
01
—
P01307631
MEDICARE RR PTAN
IN
Enumeration date
12/07/2005
Last updated
02/02/2018
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