MICHELLE F. SUMMERVILLE – NPI #1245974708
Pediatrics

A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

MICHELLE SUMMERVILLE is a physician located in ARUNDEL, ME. NPPES has assigned the NPI number 1245974708 to MICHELLE SUMMERVILLE on April 21, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0008X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neurodevelopmental Disabilities

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 MICHELLE SUMMERVILLE below.

NPI Profile for
MICHELLE F. SUMMERVILLE

NPI Number
1245974708
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MICHELLE F. SUMMERVILLE
Primary location
COASTAL KIDS OT 1222 PORTLAND RD
ARUNDEL, ME 04046
Phone: (207) 337-1058 Fax:
Mailing address
77 ROBERTS POND RD
LYMAN, ME 04002-6714
Phone: (207) 544-3925 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Apr 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MICHELLE 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
OTHERLICENSEMEPA4434
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
2080P0008X
- Pediatrics / Neurodevelopmental Disabilities (Primary)
ME PA4434

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
WORK EMAIL
Content Type
OTHER
Affiliation
N
Endpoint Location
77 ROBERTS POND RD,
LYMAN, ME 77025-1669