MEDICARE: KEVIN D'RUMMO 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	2085R0001X	Radiation Oncology Physician	35.142109	OH

General Provider Information

NPI Number	:	1437512746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN D'RUMMO M.D.

Provider Business Mailing Address
First Line	:	3909 ORANGE PL STE 1100
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4480
Country	:	US
Telephone Number	:	216-896-1755
Fax Number	:

Provider Business Practice Location Address
First Line	:	3909 ORANGE PL STE 1100
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4480
Country	:	US
Telephone Number	:	216-896-1755
Fax Number	:	216-286-3989

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

Provider Enumeration Date	:	04/04/2016
Last Update Date	:	01/04/2022

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