Physician Compare National (NPI:1538146451)

HEALTHCARE PROVIDER: DAVID MERRILL SUMMERS DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1538146451
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981691953
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101202000033
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SUMMERS
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	MERRILL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FREDERICK HEALTH HOSPITAL INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0446149256
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	36
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1562 OPOSSUMTOWN PIKE
	Group Practice or individual's line 1 address
City	FREDERICK
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	217024920
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2405663400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210005
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FREDERICK MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390065
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GETTYSBURG HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y