Provider Demographics
NPI:1114913290
Name:SUMME, ROBERT BERNARD (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:BERNARD
Last Name:SUMME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 HARRODSBURG RD STE A100
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3746
Mailing Address - Country:US
Mailing Address - Phone:859-258-6700
Mailing Address - Fax:859-258-6509
Practice Address - Street 1:1401 HARRODSBURG RD STE A100
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3746
Practice Address - Country:US
Practice Address - Phone:859-258-6700
Practice Address - Fax:859-258-6509
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH683522085R0001X
KY336642085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64953888Medicaid
OH0156790Medicaid
KY0503001Medicare PIN
OHG04109Medicare UPIN
OHH075030Medicare PIN