PAUL R SUMMERSIDE MD
NPI 1720009459
Emergency Medicine in Green Bay, WI
NPI Status: Active since July 21, 2006
Contact Information
2253 W MASON ST
GREEN BAY, WI
ZIP 54303
Phone: (920) 327-7250
Fax: (920) 327-7249
- Individual
- Male
- Emergency Medicine
About PAUL SUMMERSIDE
This page provides the complete NPI Profile along with additional information for Paul Summerside, a provider established in Green Bay, Wisconsin with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1720009459 assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number 29836 (WI). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1720009459
- Provider Name
- PAUL R SUMMERSIDE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2253 W MASON ST GREEN BAY, WI 54303
- Location Phone
- (920) 327-7250
- Location Fax
- (920) 327-7249
- Mailing Address
- 614 RANDALL AVE DE PERE, WI 54115
- Mailing Phone
- (920) 327-7250
- Mailing Fax
- (920) 327-7249
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-21-2006
- Last Update Date
- 02-09-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 29836
- License State
- WI
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B85298 | MEDICARE UPIN (02) | ||
| 31449300 | MEDICAID (05) | WI | |
| 007507650 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 0 | 0 | 9 | 4 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 0 | 0 | 18 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 0 + 0 + 1 + 8 + 4 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1720009459 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790705879 | MICHAEL E PHILLIPS MD Individual | Emergency Medicine | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7250 |
| 1295842417 | MS. KATHLEEN G STEWARD APNP Individual | Nurse Practitioner | 2253 W MASON ST #200 GREEN BAY, WI 54303 (920) 327-7300 |
| 1700977030 | ALAN G FINESILVER MD Individual | Internal Medicine (Rheumatology) | 2253 W MASON ST #200 GREEN BAY, WI 54303 (920) 327-7300 |
| 1477693984 | AURORA MEDICAL GROUP, INC. Organization | Durable Medical Equipment & Medical Supplies | 2253 W MASON ST SUITE 200 GREEN BAY, WI 54303 (920) 327-7300 |
| 1093776023 | JULIE A MAGNIN M.D. Individual | Family Medicine | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7300 |
| 1932394889 | MARCIA RADDATZ PTA Individual | Physical Therapy Assistant | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7200 |
| 1306161799 | LARA SUTTON OTR Individual | Occupational Therapist | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7300 |
| 1003331125 | NICOLE L LOWE APNP Individual | Nurse Practitioner | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7300 |
| 1104082742 | CLINTON B OLSON MD Individual | Family Medicine | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7300 |
| 1144869942 | JENNIFER L MACGREGOR NP Individual | Nurse Practitioner | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7323 |
| 1194358648 | BRIANNA LYNN BAETEN PA Individual | Physician Assistant | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7300 |
| 1417975087 | ROBERT DAVID SOUTHWICK MD Individual | Obstetrics & Gynecology | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7300 |
| 1497770473 | JULIE BONNIN MD Individual | Family Medicine | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7300 |
| 1720055817 | BRIAN S WOODBRIDGE MD Individual | Internal Medicine | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7300 |
| 1780737155 | DR. ANDREW KYLE ALEXANDER M.D. Individual | Pediatrics | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7300 |
| 1669589917 | MS. MARY E ROBERTSON APNP Individual | Nurse Practitioner | 2253 W MASON ST #200 GREEN BAY, WI 54303 (920) 327-7300 |
| 1982916524 | LAURA J SCHROEDER PAC Individual | Physician Assistant | 2253 W MASON ST SUITE 200 GREEN BAY, WI 54303 (920) 327-7300 |
| 1992233662 | ALEXANDER ARMANTHUS FOSTER MD Individual | Ophthalmology | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7000 |
| 1851336242 | BAYCARE CLINIC LLP Organization | Durable Medical Equipment & Medical Supplies | 2253 W MASON ST STE 100 GREEN BAY, WI 54303 (920) 327-7000 |
| 1801326533 | KIMBERLY M SCHAULAND OD Individual | Optometrist | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720009459, enumerated in the NPI registry as an "individual" on July 21, 2006
The provider is located at 2253 W Mason St Green Bay, Wi 54303 and the phone number is (920) 327-7250
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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