ROGER WILLIAM JUMP III (NPI# 1639467517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639467517 |
| Entity Type | Individual |
| Full Name | ROGER WILLIAM JUMP III |
| Credential | D.O. |
| Practice Address |
6301 University Commons Suite 350 South Bend IN 46635-1571 |
| Mailing Address |
6301 University Commons Suite 230 South Bend IN 46635-1571 |
| Practice Telephone | 5742344800 |
| Practice Fax Number | 5742821739 |
| Mailing Telephone | 5742512100 |
| Mailing Fax Number | 5742512153 |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2016-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 02004782A | IN | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 5101019480 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
6301 UNIVERSITY COMMONS SUITE 350 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132903 | Thomas Gerard Akre | Orthopaedic Surgery | 6301 University Commons, Ste 100, South Bend, IN 46635-1571 | 2005-05-24 |
| 1548652886 | Susan Snider | Nurse Practitioner | 6301 University Commons, Suite 350, South Bend, IN 46635-1571 | 2015-02-24 |
| 1497146252 | Donna Joan Harrison | Obstetrics & Gynecology | 6301 University Commons, Suite 310, South Bend, IN 46635-1571 | 2015-02-13 |
| 1295139723 | Allied Physicians of Michiana, LLC | Durable Medical Equipment & Medical Supplies | 6301 University Commons, Suite 100, South Bend, IN 46635-1571 | 2014-10-13 |
| 1679819817 | Linda Charlebois | Audiologist | 6301 University Commons, Suite 360, South Bend, IN 46635-1571 | 2012-12-17 |
| 1902141237 | Randy Joseph Brush | Physician Assistant | 6301 University Commons, Suite 210, South Bend, IN 46635-1571 | 2012-11-27 |
| 1588916258 | Allied Physicians of Michiana, LLC | Obstetrics & Gynecology | 6301 University Commons, Suite 230, South Bend, IN 46635-1571 | 2012-10-05 |
| 1487931184 | Raymond Rene Lucio Canda | Physical Therapist | 6301 University Commons, Suite 403, South Bend, IN 46635-1571 | 2011-11-08 |
| 1265714778 | Allied Physicians of Michiana, LLC | Occupational Therapist | 6301 University Commons, Suite 430, South Bend, IN 46635-1571 | 2011-09-12 |
| 1366723769 | Melissa Gutierrez | Physical Therapist | 6301 University Commons, Suite 430, South Bend, IN 46635-1571 | 2011-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
| 1649505645 | Allied Physicians of Michiana, LLC | Urology | 6301 University Commons, Suite 350, South Bend, IN 46635-1571 | 2009-10-08 |
| 1063438117 | Urology Associates of South Bend, PC | Urology | 707 Cedar St, Suite #450, South Bend, IN 46617-2054 | 2006-07-14 |
| 1689627812 | Beacon Medical Group | Urology | 100 Navarre Pl, Suite 4400, South Bend, IN 46601-1156 | 2006-05-18 |
| 1871562975 | Jeffrey C Cooper | Urology | 211 N Eddy St, South Bend, IN 46617-2808 | 2006-03-14 |
| 1902880107 | Mark Ernest Toth | Urology | 100 Navarre Pl, Ste. 4400, South Bend, IN 46601-1156 | 2005-12-01 |
| 1831194919 | John Anthony Hudak | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| 1548265622 | Arthur Philip Depauw | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| 1427053511 | William Henry Stonehill | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| 1811992803 | Kathleen Marie Delnay | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46635 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.