Basic Information
| Provider Information | |||||||||
| NPI: | 1457375610 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROUMM | ||||||||
| FirstName: | ALAN | ||||||||
| MiddleName: | D. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1845 CENTER ST | ||||||||
| Address2: | |||||||||
| City: | CAMP HILL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170111703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177613505 | ||||||||
| FaxNumber: | 7177614293 | ||||||||
| Practice Location | |||||||||
| Address1: | 1845 CENTER ST | ||||||||
| Address2: | |||||||||
| City: | CAMP HILL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170111703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177613505 | ||||||||
| FaxNumber: | 7177614293 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | MD-022026-E | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | 231926 | 01 | PA | MAMSI | OTHER | R0148067 | 01 | PA | HEALTH AMERICA | OTHER | 0148067 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 7094822 | 01 | PA | GATEWAY | OTHER | 110165513 | 01 | PA | TRAVELERS MEDICARE | OTHER | 232429464003 | 01 | PA | CIGNA | OTHER | 0743900 | 05 | PA | MEDICAID | 232429464 | 01 | PA | PRIME SOURCE | OTHER | 481003 | 01 | PA | USCPO | OTHER | 01004901 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 480995 | 01 | PA | ATENA/US HEALTHCARE | OTHER | R0148067 | 01 | PA | MED NONACCEPT | OTHER |