MEDICARE: DR. JAMES FREDERICK ZUMSTEIN 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	207Q00000X	Family Medicine Physician	00017633	AL
2	207Q00000X	Family Medicine Physician	037931	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00009293	OTHER		PALMETTO MEDICARE RAILROA

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	42-1588073	OTHER		TAX ID
3	51515341ZUM	OTHER	AL	BCBS
4	000608847F	OTHER	GA	BCBS

General Provider Information

NPI Number	:	1588778591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES FREDERICK ZUMSTEIN MD

Provider Business Mailing Address
First Line	:	1810 STADIUM DRIVE
Second Line	:	SUITE 230
City	:	PHENIX CITY
State	:	AL
Zip	:	36867-3100
Country	:	US
Telephone Number	:	334-664-0219
Fax Number	:	334-664-0224

Provider Business Practice Location Address
First Line	:	1810 STADIUM DRIVE
Second Line	:	SUITE 230
City	:	PHENIX CITY
State	:	AL
Zip	:	36867-3100
Country	:	US
Telephone Number	:	334-664-0219
Fax Number	:	334-664-0224

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	09/28/2012

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Directions to “ DR. JAMES FREDERICK ZUMSTEIN MD” Practice Location

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