Provider Demographics
NPI:1265543342
Name:SUMMERS, ANNE E (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:E
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3023 HAMAKER COURT
Mailing Address - Street 2:#100
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031
Mailing Address - Country:US
Mailing Address - Phone:703-641-9161
Mailing Address - Fax:703-641-0383
Practice Address - Street 1:3023 HAMAKER COURT
Practice Address - Street 2:#100
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:703-641-9161
Practice Address - Fax:703-641-0383
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101038414207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
060058389OtherRAIL ROAD MEDICARE
47112OtherMDIPA
541977219OtherTRICARE
432670OtherANTHEM HEALTHKEEPRS PLUS
47112OtherOPTIMUM CHOICE
432668OtherANTHEM
0003OtherCAREFIRST
VA00V371C96OtherMEDICARE OF VA
4053933OtherAETNA PPO MC
47112OtherMAMSI
541977219OtherNALC AFFORDABLE
P00025882OtherRAIL ROAD MEDICARE
47112OtherALLIANCE GEHA
541977219OtherUNITED HEALTHCARE
541977219OtherCIGNA
737705OtherAETNA HMO
VA005842344Medicaid
541977219OtherWPS TRICARE
VA000Y00C88Medicare ID - Type Unspecified
VA005842344Medicaid