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Provider Information for 1902809700

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. JAMES R. CUMMINGS MD

Gender: MALE

Individual NPI: 1902809700

Calendar   Last Updated:  2020-03-03
  Certification Date:  2020-03-03

Details

Name Value
NPI 1902809700
Enumeration Date 2005-05-24
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 270 MAIN ST N STE 300
STILLWATER, MN 55082-6788
United States

Phone: 651-342-1039 | Fax: 651-342-1428
View Map External Link
Primary Practice Address 10150 HIGHLAND MANOR DR STE 240
TAMPA, FL 33610-9750
United States

Phone: 813-259-1013 | Fax: 813-254-0396
View Map External Link
Secondary Practice Address 300 S HYDE PARK AVE STE 210
TAMPA, FL 33606-4125
United States

Phone: 813-259-1013 | Fax: 813-254-0396
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other BLUE CROSS BLUE SHIELD FL FL 02121
Other RAILROAD MEDICARE FL 1902809700
Other RAILROAD MEDICARE FL 010058670
MEDICAID FL 043804900
Other RAILROAD MEDICARE FL 010066084
Other RAILROAD MEDICARE FL 110020734
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208D00000X - General Practice FL ME48975
No 207Q00000X - Family Medicine FL ME48975