Individual provider Active NPI

Ellen K. Kumler, M.D.

  • Specialist
  • Vanceburg, KY
National Provider Identifier
1669433348
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35077629 Issued in OH
Practice address
211 Ky 59
Vanceburg, KY 41179
Phone
(606) 796-3029
Fax
(606) 796-6221
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35077629 OH Primary

Addresses

Primary practice location

211 Ky 59
Vanceburg, KY 41179

Mailing address

PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029

Other identifiers 2

IdentifierTypeStateIssuer
2312465MedicaidOH
7100087160MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180305001470 OH Practitioner - Pediatric Medicine 4284872516 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077629OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers CurrentSince May 30, 2022 Accepting new patients
Muskingum Valley Health Centers Current Accepting new patients
Superior Med LLC CurrentSince Dec 26, 2017 Accepting new patients
Muskingum Valley Health Centers CurrentSince May 30, 2022 Accepting new patients
Messick & Thompson MDS Past Accepting new patients
Children'S Community Practices, LLC PastSince Dec 1, 2019 Accepting new patients

Locations

1230 Clark St
Apt A
Cambridge, OH 43725
Phone (740) 435-2340

1251 Clark St
Cambridge, OH 43725
Phone (740) 439-0733

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

450 Downtowner Plz
Coshocton, OH 43812
Phone (740) 487-3110

440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1669433348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-796-3029",
            "fax_number": "606-796-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 KY 59",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "41179",
            "telephone_number": "606-796-3029",
            "fax_number": "606-796-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMLER",
        "first_name": "ELLEN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35077629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2312465",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100087160",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vanceburg, KY

Sources for this page

Verify at the official NPI Registry.