Michelle Jackson Sumrall
MD | Pediatrics | Female
Michelle Jackson Sumrall, MD is a Elizabethtown, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michelle Jackson Sumrall is
1301 Ring Rd, Elizabethtown, Kentucky - 42701-8968. She can be contacted on phone at
270-765-2107 and fax number 270-169-9642.
Michelle Jackson Sumrall is a sole proprietor of her business.
NPI number (Unique professional ID) for Michelle Jackson Sumrall is
1639158520 which was assigned by NPPES on 10 Jan, 2006 and it was last updated on 21 Sep, 2022.
Michelle Jackson Sumrall license number is
37097 for Pediatrics (208000000X) in Kentucky.
Michelle Jackson Sumrall is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Michelle Jackson Sumrall basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Michelle Jackson Sumrall |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Michelle Jackson Sumrall address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1301 Ring Rd
Elizabethtown, KY, 42701-8968
United States |
|---|
| Phone Number : | 270-765-2107 |
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| Fax Number : | 270-169-9642 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639158520 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Jan, 2006 |
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| Last Updated On : | 21 Sep, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michelle Jackson Sumrall are as mentioned. Primary taxonomy code for Michelle Jackson Sumrall, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 37097 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Michelle Jackson Sumrall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000225528 | Other (non-Medicare) | KY | Anthem |
| 1361927 | MEDICARE PIN | KY | |
| 300052072 | MEDICAID | IN | |
| 64049216 | MEDICAID | KY | |
| H58331 | MEDICARE UPIN | LA | |
| K182871 | Other (non-Medicare) | KY | Medicare |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | msumrall5533@direct.nortonhealthcare.org
| No affiliation |
|
| 1301 Ring Rd,
Elizabethtown, KY, 42701-8968
United States |
FHIR
(FHIR URL) | https://epicsoap.nortonhealthcare.org/
| No affiliation |
|
| 1301 Ring Rd,
Elizabethtown, KY, 42701-8968
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 776879
Chicago, IL, 60677-6879
United States |
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| Phone Number : | 502-588-9490 |
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| Fax Number : | 502-272-5116 |
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Business Location:
Patients can refer following map for directions to
Michelle Jackson Sumrall practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.