Provider Demographics
NPI:1346520525
Name:RUMMEL, JAMES ROBERT JR (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:RUMMEL
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:55 WILLADELL RD
Mailing Address - Street 2:
Mailing Address - City:TRANSFER
Mailing Address - State:PA
Mailing Address - Zip Code:16154-2729
Mailing Address - Country:US
Mailing Address - Phone:956-483-0372
Mailing Address - Fax:
Practice Address - Street 1:80 E SILVER ST STE 400
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-1546
Practice Address - Country:US
Practice Address - Phone:844-456-5433
Practice Address - Fax:724-981-1720
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261966207Q00000X
PAOS021065207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03373219Medicaid