MEDICARE: MATTHEW D RUMSEY AU. D.

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	231H00000X	Audiologist	322-A	SD

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104931187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW D RUMSEY AU. D.

Provider Business Mailing Address
First Line	:	409 SUMMIT ST STE 2800
Second Line	:
City	:	YANKTON
State	:	SD
Zip	:	57078-3735
Country	:	US
Telephone Number	:	605-665-6820
Fax Number	:	605-665-6821

Provider Business Practice Location Address
First Line	:	409 SUMMIT ST STE 2800
Second Line	:
City	:	YANKTON
State	:	SD
Zip	:	57078-3735
Country	:	US
Telephone Number	:	605-665-6820
Fax Number	:	605-665-6821

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	02/21/2013

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