Provider Demographics
NPI:1013042472
Name:THE RUMLEY CENTER PC
Entity Type:Organization
Organization Name:THE RUMLEY CENTER PC
Other - Org Name:THE RUMLEY CENTER FOR PLASTIC AND COSMETIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:O
Authorized Official - Last Name:RUMLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:256-494-0888
Mailing Address - Street 1:300 MEDICAL CENTER DRIVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-1139
Mailing Address - Country:US
Mailing Address - Phone:256-494-0888
Mailing Address - Fax:256-494-0082
Practice Address - Street 1:300 MEDICAL CENTER DRIVE
Practice Address - Street 2:SUITE 301
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1139
Practice Address - Country:US
Practice Address - Phone:256-494-0888
Practice Address - Fax:256-494-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2086S0122X
AL126312086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000089089Medicaid
AL00089089Medicaid
AL51089089OtherBCBS
AL00089089Medicaid