Summer Kirby (NPI# 1376703595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1376703595 |
| Entity Type | Individual |
| Full Name | Summer Kirby |
| Credential | MD |
| Gender | Female |
| Practice Address |
921 14th Ave Nw Ardmore OK 73401-1837 |
| Practice Telephone | 5802235311 |
| Practice Fax Number | 5802238227 |
| Mailing Address |
921 14th Ave Nw Ardmore OK 73401-1837 |
| Mailing Telephone | 5802235311 |
| Mailing Fax Number | 5802238227 |
| Sole Proprietor | No, this individual is not a Sole Proprietor |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2014-08-19 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | 26444 | OK |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083270532 | Summer J Kirby | Massage Therapist | 5603 Summitview Ave Ste 100, Yakima, WA 98908-3018 | 2019-05-09 |
| NPI | 1376703595 |
| PAC ID by PECOS | 2264699412 |
| Professional Enrollment ID | I20120131000632 |
| Full Name | Summer A Kirby |
| Organization Legal Name | MERCY CLINIC OKLAHOMA COMMUNITIES |
| Phone Number | 5802235311 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153468921 |
| Number of Group Practice Members | 451 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370047 | MERCY HOSPITAL ARDMORE, INC |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407237704 | Primecare Family Clinic LLC | Family Medicine | 1405 4th Ave Nw # 311, Ardmore, OK 73401-2708 | 2015-06-11 |
| 1295025765 | Jorge Luis Carmona Rodriguez | Family Medicine | 731 12th Ave Nw Ste 100, Ardmore, OK 73401-5762 | 2011-04-18 |
| 1588989719 | Paul Maury Prusky | Family Medicine | 25 East Athens Ave, Ardmore, PA 19003 | 2010-03-31 |
| 1518025469 | Vicky Berberian | Family Medicine | 647 Ardmore Ave, Ardmore, PA 19003-1831 | 2006-12-04 |
| 1922044494 | Lister Health Care Corporation | Family Medicine | 30320 Al Highway 53 Ste B&c, Ardmore, AL 35739-8766 | 2006-06-21 |
| 1437109394 | Anna Christella Burson | Family Medicine | 720 Grand Ave, Ardmore, OK 73401-4343 | 2006-05-11 |
| 1053377937 | Steven K Watkins | Family Medicine | 908 N Rockford Rd, Suite G, Ardmore, OK 73401-2540 | 2006-04-21 |
| 1740269430 | Karen L. Abrams | Family Medicine | 233 E. Lancaster Ave, Suite 303a, Ardmore, PA 19003 | 2006-01-11 |
| 1689652075 | Phillip Alton Nokes | Family Medicine | 1105 Michelin Rd, Michelin Family Health Center, Ardmore, OK 73401-1085 | 2006-01-05 |
| 1285611160 | James Forrestal | Family Medicine | 830 16th Ave Nw, Ardmore, OK 73401-1818 | 2005-12-30 |
| Find all providers in ARDMORE | ||||
| Street Address |
921 14TH AVE NW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457331175 | Medical Arts Clinic of Ardmore Inc | Internal Medicine | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2006-01-19 |
| 1912395898 | Lisa Burton | Nurse Practitioner | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2014-12-31 |
| 1932448347 | Jerad Scott Wagner | Physician Assistant | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2013-02-05 |
| 1487854642 | Derek Todd Landis | Pediatrics | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2007-07-24 |
| 1205929320 | Ashley V Kelley | Internal Medicine | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2006-10-02 |
| 1679595144 | Bobby J Ellis | Internal Medicine | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2006-07-24 |
| 1306889878 | Sallie J Walker | Nurse Practitioner | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2006-06-13 |
| 1235176629 | Wilfred S Gauthier | Surgery | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2006-06-02 |
| 1194779975 | Toribio C Velasquez | Internal Medicine | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2006-05-19 |
| 1114982527 | Mercy Health Services - Southern Oklahoma, LLC | Clinic/Center | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2006-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.