Individual
DR. JOHN H SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
608 NW 9TH ST, STE 2200, OKLAHOMA CITY, OK 73102-1068
(405) 231-3737
(405) 272-6144
Mailing address
608 NW 9TH ST, STE 2200, OKLAHOMA CITY, OK 73102-1068
(405) 231-3737
(405) 272-6144
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
19883
OK
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
19883
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253930A
—
OK
01
—
500522075
MEDICAID GROUP PIN
OK
01
—
P00323742
RR MEDICARE
OK
Enumeration date
03/31/2006
Last updated
10/22/2020
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