Individual provider Active NPI

David R Rumph Jr., M.D.

  • Specialist
  • Bartlesville, OK
National Provider Identifier
1083644462
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15648 Issued in OK
Practice address
3400 E Frank Phillips Blvd
Suite 400
Bartlesville, OK 74006-2495
Phone
(918) 331-2533
Fax
(918) 331-2539
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15648 OK Primary

Addresses

Primary practice location

3400 E Frank Phillips Blvd
Suite 400
Bartlesville, OK 74006-2495

Mailing address

3400 E Frank Phillips Blvd
Suite 400
Bartlesville, OK 74006-2495
Phone (918) 331-2533

Other identifiers 1

IdentifierTypeStateIssuer
100089110AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091030000470 OK Practitioner - Obstetrics/Gynecology 8426195009 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. CurrentSince Jul 1, 2014 Accepting new patients
St John Urgent Care Clinics Inc CurrentSince Jul 9, 2023 Accepting new patients
St. John Physicians, Inc CurrentSince Jul 1, 2014 Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients

Locations

3400 E Frank Phillips Blvd
Ste 400
Bartlesville, OK 74006
Phone (918) 331-2522

3400 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-2441

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Interoperability endpoints

  • Direct secure messaging: drumph27224@muscogeecreeknation.direct-ci.com
  • Direct secure messaging: david.rumph@direct.stjohnhealthsystem.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1083644462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "SUITE 400",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-331-2533",
            "fax_number": "918-331-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "SUITE 400",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-331-2533",
            "fax_number": "918-331-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMPH",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "15648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089110A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.