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PAUL R SUMMERSIDE MD
NPI 1720009459
Emergency Medicine in Green Bay, WI

Active since July 21, 2006
2253 W MASON ST, GREEN BAY, WI 54303(920) 327-7250(920) 327-7249 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul R Summerside Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL R SUMMERSIDE MD (NPI 1720009459) is an individual emergency medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (29836) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1720009459
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePAUL R SUMMERSIDECredential: MD
Location Address2253 W MASON STGreen Bay, WI 54303-4706
Mailing Address614 Randall AveDe Pere, WI 54115-2640 · (920) 327-7250 · Fax (920) 327-7249
Phone(920) 327-7250
Fax(920) 327-7249
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateFebruary 9, 2016
✔ NPI 1720009459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 29836
Definition
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.
2253 W MASON ST, Green Bay, WI 54303
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Other Identifiers 3

Medicare UPINB85298
Medicaid31449300WI
Medicare ID-Type Unspecified007507650WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE L LOWE APNP
Nurse Practitioner
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
BRAD J LAVALLIE OD
Optometrist
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7000
HEIDI KATHRYN BERGMAN PT, DPT
Physical Therapist
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 288-4712
JULIE A MAGNIN M.D.
Family Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
CLINTON B OLSON MD
Family Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
NICHOLAS JAMES HEEZEN D.O.
Internal Medicine
2253 W MASON ST, SUITE 200
GREEN BAY, WI 54303
Brown County (920) 327-7300
DR. MARK R KROLL D.O.
Emergency Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7000
SHANNA M SEBERO APNP
Nurse Practitioner
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Summerside's NPI number?

The NPI number for Paul Summerside is 1720009459. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Paul Summerside located?

Paul Summerside practices at 2253 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 327-7250.

What is Paul Summerside's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Paul Summerside was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.