Provider Demographics
NPI:1942276746
Name:KRUMMEN, DONNA M (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:KRUMMEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8211 CORNELL RD STE 520
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-2274
Mailing Address - Country:US
Mailing Address - Phone:513-985-0850
Mailing Address - Fax:513-985-0860
Practice Address - Street 1:8211 CORNELL RD
Practice Address - Street 2:STE 520
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-2273
Practice Address - Country:US
Practice Address - Phone:513-985-0850
Practice Address - Fax:513-985-0860
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0680272086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2176694Medicaid
OH240007037OtherRR MEDICARE
IN200288230AMedicaid
OH2176694Medicaid
OHH30104Medicare UPIN