Provider Demographics
NPI:1003240862
Name:ANTHONY, SUMY (CERTIFIED NP)
Entity Type:Individual
Prefix:
First Name:SUMY
Middle Name:
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:CERTIFIED NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CLEVELAND CLINIC DIGESTIVE DISEASE
Mailing Address - Street 2:9500 EUCLID AVENUE/A51
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-785-7800
Mailing Address - Fax:216-636-0171
Practice Address - Street 1:1601 E 19TH AVE STE 5050
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1200
Practice Address - Country:US
Practice Address - Phone:720-754-2155
Practice Address - Fax:720-754-2106
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15054363L00000X
COAPN.0994384-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner