Provider Demographics
NPI:1457375610
Name:ROUMM, ALAN D (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:D
Last Name:ROUMM
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 1:1845 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-1703
Mailing Address - Country:US
Mailing Address - Phone:717-761-3505
Mailing Address - Fax:717-761-4293
Practice Address - Street 1:1845 CENTER ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-1703
Practice Address - Country:US
Practice Address - Phone:717-761-3505
Practice Address - Fax:717-761-4293
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-022026-E207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA231926OtherMAMSI
PAR0148067OtherHEALTH AMERICA
PA0148067OtherHIGHMARK BLUE SHIELD
PA7094822OtherGATEWAY
PA110165513OtherTRAVELERS MEDICARE
PA232429464003OtherCIGNA
PA0743900Medicaid
PA232429464OtherPRIME SOURCE
PA481003OtherUSCPO
PA01004901OtherCAPITAL BLUE CROSS
PA480995OtherATENA/US HEALTHCARE
PAR0148067OtherMED NONACCEPT
PA232429464OtherPRIME SOURCE
PAR0148067OtherHEALTH AMERICA