Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shaun Stephen Summerill, MD

Individual provider Pediatrics Physician · NPI 1497807044

Dr. Shaun Stephen Summerill, MD is a Pediatrics Physician in Pocatello, Idaho. Licensed in Idaho and Wisconsin. Registered with an NPI since 2007.

Licensed in
ID, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1151 Hospital Way Bldg F
Pocatello, ID 83201
Phone: (208) 232-1443
Fax: (208) 239-3434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M-11365 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence 49001 (WI)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence 49001 (WI)

Record details

NPI number1497807044
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

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