Provider Demographics
NPI:1538377890
Name:DUMFORD, DONALD MARVIN III (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:MARVIN
Last Name:DUMFORD
Suffix:III
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 1:224 W EXCHANGE ST
Mailing Address - Street 2:SUITE 290
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1704
Mailing Address - Country:US
Mailing Address - Phone:330-344-6643
Mailing Address - Fax:330-762-7196
Practice Address - Street 1:224 W EXCHANGE ST
Practice Address - Street 2:SUITE 290
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1704
Practice Address - Country:US
Practice Address - Phone:330-344-6643
Practice Address - Fax:330-762-7196
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.011606207R00000X
OH35094131207RI0200X
OH35.094131207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3110645Medicaid
OHH110660OtherMEDICARE PTAN