Provider Demographics
NPI:1871852319
Name:ENGLER JAGER, SUMMER STAR (MD)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:STAR
Last Name:ENGLER JAGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:STAR
Other - Last Name:ENGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4048 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5389
Mailing Address - Country:US
Mailing Address - Phone:907-770-7800
Mailing Address - Fax:907-770-0905
Practice Address - Street 1:4048 LAUREL ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5389
Practice Address - Country:US
Practice Address - Phone:907-770-7800
Practice Address - Fax:907-770-0905
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK121139207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1670217Medicaid