Provider Demographics
NPI:1346431087
Name:RUMPF, REGIS P (MD)
Entity Type:Individual
Prefix:
First Name:REGIS
Middle Name:P
Last Name:RUMPF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 CORPORATE DR
Mailing Address - Street 2:STE 150
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-7005
Mailing Address - Country:US
Mailing Address - Phone:412-367-2333
Mailing Address - Fax:412-367-3471
Practice Address - Street 1:5900 CORPORATE DR
Practice Address - Street 2:STE 150
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-7005
Practice Address - Country:US
Practice Address - Phone:412-367-2333
Practice Address - Fax:412-367-3471
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT186766207W00000X
PAMD436524207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022929540001Medicaid
PA084016Medicare PIN