Provider Demographics
NPI:1447593736
Name:SHUMACHER, RONALD (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:SHUMACHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 FOX TRAIL TER
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2683
Mailing Address - Country:US
Mailing Address - Phone:301-424-3595
Mailing Address - Fax:
Practice Address - Street 1:800 KING FARM BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5979
Practice Address - Country:US
Practice Address - Phone:240-683-5331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD41931207R00000X
RIMD13770207R00000X
CODR-51153207R00000X
IN01070468A207R00000X
KS04-35627207R00000X
MI4301099867207R00000X
NJ25MA09167300207R00000X
NC2011-01968207R00000X
PAMD444913207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine