Provider Demographics
NPI:1720369101
Name:RUMBAUGH, DONALD W (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:W
Last Name:RUMBAUGH
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 1:321 E MERCER ST
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16038-1927
Mailing Address - Country:US
Mailing Address - Phone:724-735-4241
Mailing Address - Fax:724-735-4240
Practice Address - Street 1:321 E MERCER ST
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:16038-1927
Practice Address - Country:US
Practice Address - Phone:724-735-4241
Practice Address - Fax:724-735-4240
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA51436207Q00000X
PAMD466057207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine