MEDICARE: TIMOTHY RUMMEL 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	31557	CO
2	207RP1001X	Pulmonary Disease Physician	31557	CO
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	31557	CO

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	:	1598760217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY RUMMEL MD

Provider Business Mailing Address
First Line	:	1725 E BOULDER ST
Second Line	:	STE 204
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-5756
Country	:	US
Telephone Number	:	719-471-1069
Fax Number	:	719-577-4828

Provider Business Practice Location Address
First Line	:	1725 E BOULDER ST
Second Line	:	SUITE 204
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-5756
Country	:	US
Telephone Number	:	719-471-1909
Fax Number	:	719-447-0425

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	11/21/2012

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Directions to “ TIMOTHY RUMMEL MD” Practice Location

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