Provider Demographics
NPI:1023002615
Name:CUMMINGS, DAVID ANDREW (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ANDREW
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4079 ELECTRIC RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-4142
Mailing Address - Country:US
Mailing Address - Phone:540-989-5594
Mailing Address - Fax:540-776-8020
Practice Address - Street 1:4079 ELECTRIC RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-4142
Practice Address - Country:US
Practice Address - Phone:540-989-5594
Practice Address - Fax:540-776-8020
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102036907207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B59796Medicare UPIN