Provider Demographics
NPI:1194528620
Name:RUMFELT, STEPHEN MICHAEL (PA)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:MICHAEL
Last Name:RUMFELT
Suffix:
Gender:
Credentials:PA
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12 BLUE FESCUE WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-5148
Mailing Address - Country:US
Mailing Address - Phone:803-530-4528
Mailing Address - Fax:
Practice Address - Street 1:12 BLUE FESCUE WAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-5148
Practice Address - Country:US
Practice Address - Phone:803-530-4528
Practice Address - Fax:803-530-4528
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant