Active NPI
Wallace E Rumsey Jr., D.O.
- Family Medicine Physician
- Corona, AZ
National Provider Identifier
1710973250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3134
- Practice address
- 53 E Tallahassee Dr
Corona, AZ 85641-2310 - Phone
- (520) 762-5308
- Fax
- (520) 762-8431
- NPI assigned
- Sep 20, 2005
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3134 | AZ | Primary |
Addresses
Primary practice location
53 E Tallahassee Dr
Corona, AZ 85641-2310
Mailing address
1200 N El Dorado PL
Suite 670
Tucson, AZ 85715-4637
Phone (520) 751-8280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419574 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Arizona I JV LLC | Past | Accepting new patients | |
| Pinnacle Medicine Inc. | Past | Accepting new patients | |
| Saguaro Physicians, LLC | Family Medicine | Past | Accepting new patients |
| Sun Life Family Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
dba Sun Life Family Health Center
- Federally Qualified Health Center (FQHC)
- Eloy, AZ
- NPI 1588876429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1710973250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N EL DORADO PL",
"address_2": "SUITE 670",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857154637",
"telephone_number": "520-751-8280",
"fax_number": "520-751-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 E TALLAHASSEE DR",
"city": "CORONA",
"state": "AZ",
"postal_code": "856412310",
"telephone_number": "520-762-5308",
"fax_number": "520-762-8431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMSEY",
"first_name": "WALLACE",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "3134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "419574",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.