MEDICARE: RICHARD J. GUMINA M.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	207RC0000X	Cardiovascular Disease Physician	MD49488	TN
2	207RI0011X	Interventional Cardiology Physician	MD49488	TN
3	207RI0011X	Interventional Cardiology Physician	30452	NE
4	207RC0000X	Cardiovascular Disease Physician	35089106	OH
5	207RI0011X	Interventional Cardiology Physician	35089106	OH

General Provider Information

NPI Number	:	1437123635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD J. GUMINA M.D.

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-1965
Fax Number	:	614-366-2175

Provider Business Practice Location Address
First Line	:	6100 N HAMILTON RD FL 5
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2062
Country	:	US
Telephone Number	:	614-293-1965
Fax Number	:	614-293-2175

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	01/31/2025

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