STEVEN WAYNE MUMBAUER (NPI# 1407850324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407850324 |
| Entity Type | Individual |
| Full Name | STEVEN WAYNE MUMBAUER |
| Credential | M.D. |
| Practice Address |
19 Green Hills Drive Verona VA 24482-2659 |
| Mailing Address |
19 Green Hills Drive Verona VA 24482 |
| Practice Telephone | 5409490118 |
| Practice Fax Number | 5409322059 |
| Mailing Telephone | 5409490118 |
| Mailing Fax Number | 5409322059 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2014-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101057329 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006720285 | 05 | |
| FIRSTH HEALTH | 1084226 | 01 | |
| OPTIMA | 45636 | 01 | |
| VA | CIGNA | 10535 | 01 |
| VA | ANTHEM | 245317 | 01 |
| SOUTHERN HEALTH | 156885 | 01 |
| Street Address |
19 GREEN HILLS DRIVE |
| City | VERONA |
| State | VA |
| Zip Code | 24482-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457468456 | Wendy C Wimer | Nurse Practitioner | 19 Green Hills Drive, Verona, VA 24482-2659 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265922868 | Lacey Bauman | Psychologist | 68 Dick Huff Ln, Verona, VA 24482 | 2018-05-18 |
| 1427545748 | Susan Lee Morris-rollins | Speech-Language Pathologist | 68 Dick Huff Lane, Verona, VA 24482 | 2018-04-23 |
| 1750884870 | Amelia Ritchie Aitcheson | Dietitian, Registered | 17 Ken-view Dr, Verona, VA 24482 | 2018-03-15 |
| 1750804548 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 465 Lee Hwy Ste 101, Verona, VA 24482 | 2017-07-24 |
| 1427427855 | Jason Randolph Valentine | Pharmacist | 465 Lee Hwy, Suite 101, Verona, VA 24482 | 2015-09-16 |
| 1346403292 | Naresh Kumar Boini | Pharmacist | 5113 Lee Highway, Verona, VA 24482 | 2008-07-09 |
| 1508943697 | Mobile Diagnostics PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 350 Lee Highway, Verona, VA 24482 | 2006-11-01 |
| 1669558995 | Treacy Douglas Jones | Dentist | 56 Quicks Mill Rd, Verona, VA 24482 | 2006-10-30 |
| 1851496731 | Belmont Physical Therapy PC | Physical Therapist | 246b Rolla Mill Rd, Verona, VA 24482 | 2006-09-14 |
| 1275524506 | Wesley J Ross | Family Medicine | 1371 Lee Hwy, Verona, VA 24482 | 2005-11-04 |
| Find all providers in zip 24482 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619227931 | Rachel C Crutchfield | Pediatrics | 19 Green Hills Dr, Verona, VA 24482-2654 | 2012-09-13 |
| 1225099013 | Kathleen A Desantes | Pediatrics | 3906 Caribou Rd, Verona, WI 53593-8407 | 2006-03-31 |
| 1114995750 | Bettie Frank-shrensel | Pediatrics | 799 Bloomfield Ave Ste 304, Verona, NJ 07044-1301 | 2006-03-09 |
| 1063480945 | Caroline R Paul | Pediatrics | 9310 Lawn Brook Dr, Verona, WI 53593-7809 | 2006-03-08 |
| 1104892546 | Richard Harris Flyer | Pediatrics | 36 Park Ave, Verona, NJ 07044-2440 | 2006-02-26 |
| 1205800885 | Ragheda Saba | Pediatrics | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2006-02-13 |
| 1831592310 | Primary Care Partners LLC | Pediatrics | 799 Bloomfield Ave, Suite 304, Verona, NJ 07044-1367 | 2014-09-29 |
| 1548220387 | Paul William Sirna | Pediatrics | 36 Park Ave, Verona, NJ 07044-2440 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183303 | Charles Eshel Stith IIi | Pediatrics | 317 Middle Oaks Dr, Chesapeake, VA 23322-7502 | 2020-11-01 |
| 1962002717 | Caylee Cook | Pediatrics | 9900 Independence Park Dr Ste 100, Richmond, VA 23233-1473 | 2020-10-30 |
| 1659978039 | Jessica N Johnson | Pediatrics | 4078 Country Club Rd, Brodnax, VA 23920-3404 | 2020-10-08 |
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1134738602 | Lolita Lopez | Pediatrics | 43547 Freeport Pl, Sterling, VA 20166-2160 | 2020-07-30 |
| 1184252330 | Arlene Marie Lorica | Pediatrics | 7902 Tysons One Pl Unit 2613, Mc Lean, VA 22102-5239 | 2020-03-31 |
| 1508493883 | Katie Marie Davis | Pediatrics | 5807 Fox Briar Way, Midlothian, VA 23112-6364 | 2020-03-25 |
| 1649817636 | Susan Jane Argyle | Pediatrics | 7501 Little River Tpke Ste 202, Annandale, VA 22003-2923 | 2019-12-09 |
| 1003477621 | Deborah Williams Ward | Pediatrics | 1810 Plain View Rd, Henrico, VA 23238-4152 | 2019-06-25 |
| 1467012120 | Keith Henry | Pediatrics | 23458 Cool Water Dr, Ruther Glen, VA 22546-3325 | 2019-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.