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Contact Information

KEITH L SOMMERS, MD
148 TERRY RD
SMITHTOWN, NY11787-5102
 Phone: 631-862-4000
 Fax: 631-862-4017
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for KEITH L SOMMERS · (Male)

NPI Number 1821193939
Status Active
Credentials MD
Entity Individual
Enumeration date 09/13/2006
Last updated 07/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 176445
  • NY Medicaid 01438600
  • NM Other 4328076 AETNA
  • NY Other 113276400 1199
  • NY Other 87F373 BC/BS
  • NY Other 4328078 CIGNA
  • NY Other 113276400 EMPIRE
  • NY Other 0201238 GHI
  • NY Other 176445 HIP
  • NY Other 113276400 HORIZON
  • NY Other AH01294 MDNY
  • NY Other P62225119 MULTIPLAN
  • NY Other CP240 OXFORD
  • NY Other OC5869 PHS
  • NY Other 0700546 UNITED HEALTHCARE
  • NY Other 123262 US HEALTHCARE
  • NY Other 16481 VYTRA
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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