Healthcare Provider Details

I. General information

NPI: 1447472345
Provider Name (Legal Business Name): THOMAS ALAN SUMMERS JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WRNMMC 8901 WISCONSIN AVENUE
BETHESDA MD
20889-5001
US

IV. Provider business mailing address

8901 WISCONSIN AVE
BETHESDA MD
20889-5095
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-2520
  • Fax:
Mailing address:
  • Phone: 301-295-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number042-0015128
License Number StateVT
# 3
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number036.121580
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: