Healthcare Provider Details

I. General information

NPI: 1346520525
Provider Name (Legal Business Name): JAMES ROBERT RUMMEL JR. D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2011
Last Update Date: 12/11/2023
Certification Date: 12/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 E SILVER ST STE 400
SHARON PA
16146-1546
US

IV. Provider business mailing address

55 WILLADELL RD
TRANSFER PA
16154-2729
US

V. Phone/Fax

Practice location:
  • Phone: 844-456-5433
  • Fax: 724-981-1720
Mailing address:
  • Phone: 956-483-0372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number261966
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS021065
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: