Provider Demographics
NPI:1558082495
Name:SUMNERS MATERNAL FETAL MEDICINE PC
Entity Type:Organization
Organization Name:SUMNERS MATERNAL FETAL MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMNERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-696-0507
Mailing Address - Street 1:9691 SUMMERLAKES DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-9394
Mailing Address - Country:US
Mailing Address - Phone:317-696-0507
Mailing Address - Fax:
Practice Address - Street 1:201 PENNSYLVANIA PKWY STE 205
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46280-1393
Practice Address - Country:US
Practice Address - Phone:317-669-2020
Practice Address - Fax:317-458-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty