JOHN W. SUMMERVILLE MD – NPI #1982604120
Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

JOHN SUMMERVILLE is a pathologist located in PETERSBURG, VA. NPPES has assigned the NPI number 1982604120 to JOHN SUMMERVILLE on July 29, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was previously updated about 7 years ago on Jun 10, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN SUMMERVILLE below.

NPI Profile for
JOHN W. SUMMERVILLE

NPI Number
1982604120
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN W. SUMMERVILLE
Credentials
MD
Primary location
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Phone: (615) 221-4400 Fax:
1 Other location(s):
200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone: (804) 765-5000
Mailing address
5301 VIRGINIA WAY STE 300
BRENTWOOD, TN 37027-7542
Phone: (615) 221-4400 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOHN SUMMERVILLE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVA006603858
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)
VA 0101041829

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
JOHN SUMMERVILLE is affiliated with the following medical group(s):
  • HOSPITAL
    • PAGE MEMORIAL HOSPITAL, INC
      200 MEMORIAL DRIVE
      LURAY, VA 22835
    • SHENANDOAH MEMORIAL HOSPITAL
      759 SOUTH MAIN STREET
      WOODSTOCK, VA 22664
    • WARREN MEMORIAL HOSPITAL
      351 VALLEY HEALTH WAY
      FRONT ROYAL, VA 22630
    • WINCHESTER MEDICAL CENTER
      1840 AMHERST ST
      WINCHESTER, VA 22601

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