Steven Wayne Mumbauer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101057329 Issued in VA

Practice address

19 Green Hills Drive
Verona, VA 24482-2659

Phone

(540) 949-0118

Fax

(540) 932-2059

NPI assigned

Jun 9, 2005

Last updated

Jul 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: smumbauer@vpg.opdirect.net

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.

• Valley Pediatric Group, PLC

  • Pediatrics Physician
  • Waynesboro, VA
  • NPI 1003865122
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1407850324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GREEN HILLS DRIVE",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "24482",
            "telephone_number": "540-949-0118",
            "fax_number": "540-932-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GREEN HILLS DRIVE",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244822659",
            "telephone_number": "540-949-0118",
            "fax_number": "540-932-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMBAUER",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101057329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "156885",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006720285",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "245317",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "45636",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "10535",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTH HEALTH",
            "identifier": "1084226",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Erik Minnich, PHARMD
• Mobile Diagnostics PC
• Cheryl Moffett, PT
• Susan Lee Morris-Rollins
• Brooke Elizabeth Morris
• Danielle Marie Noble, DDS
• Rebecca Suter Pascarella, LCSW
• Stacy Lynn Pettry
• Andy Poole, PT
• Marla Poteat

• Pediatrics Physician in Verona, VA
• Providers in Verona, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.