Provider Demographics
NPI:1427582923
Name:ZUMBAUGH, THOMAS ALAN (DPM)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:ALAN
Last Name:ZUMBAUGH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8325 S EMERSON AVE STE B1
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-8559
Mailing Address - Country:US
Mailing Address - Phone:317-742-6575
Mailing Address - Fax:
Practice Address - Street 1:8325 S EMERSON AVE STE B1
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-8559
Practice Address - Country:US
Practice Address - Phone:317-742-6575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-12
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07001409A213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery