MEDICARE: DR. MICHAEL ERIC SUMMERFIELD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD036125	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588690358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ERIC SUMMERFIELD M.D.

Provider Business Mailing Address
First Line	:	5711 SARVIS AVE
Second Line	:	SUITE402
City	:	RIVERDALE
State	:	MD
Zip	:	20737-1394
Country	:	US
Telephone Number	:	301-277-4844
Fax Number	:	301-927-3221

Provider Business Practice Location Address
First Line	:	5711 SARVIS AVE
Second Line	:	SUITE402
City	:	RIVERDALE
State	:	MD
Zip	:	20737-1394
Country	:	US
Telephone Number	:	301-277-4844
Fax Number	:	301-927-3221

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	03/08/2011

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