Provider Demographics
NPI:1891705877
Name:DUMAS, JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:DUMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 S FRONT AVE
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-1614
Mailing Address - Country:US
Mailing Address - Phone:606-886-8572
Mailing Address - Fax:606-886-4433
Practice Address - Street 1:1101 S MAY TRAIL
Practice Address - Street 2:
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240
Practice Address - Country:US
Practice Address - Phone:606-789-3518
Practice Address - Fax:606-789-3530
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY324442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY260049503OtherRAILROAD MEDICARE
KY1165746OtherCHA HEALTH
KY000000298147OtherANTHEM BC/BS
KY0662415Medicare ID - Type Unspecified
KY0366417Medicare ID - Type Unspecified
KYF65732Medicare UPIN
KY0675712Medicare ID - Type Unspecified
KY0675412Medicare ID - Type Unspecified
KY0675612Medicare ID - Type Unspecified
KY000000298147OtherANTHEM BC/BS
KY1266940Medicare ID - Type Unspecified
KY0653313Medicare ID - Type Unspecified