MEDICARE: DR. JAMES HOWARD BUMBAUGH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	OS005699L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073585790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES HOWARD BUMBAUGH MD

Provider Business Mailing Address
First Line	:	20130 ROUTE 19
Second Line	:	SUITE 1000
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6218
Country	:	US
Telephone Number	:	724-779-5005
Fax Number	:

Provider Business Practice Location Address
First Line	:	20130 ROUTE 19
Second Line	:	SUITE 1000
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6218
Country	:	US
Telephone Number	:	724-779-5005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	08/04/2011

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