Provider Demographics
NPI:1730152174
Name:CUMBERLAND, PATRICIA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:CUMBERLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PATTI
Other - Middle Name:ANN
Other - Last Name:CUMBERLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:18701 N 67TH AVE
Mailing Address - Street 2:ARROWHEAD EMERGENCY DEPARTMENT
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-7100
Mailing Address - Country:US
Mailing Address - Phone:623-561-7222
Mailing Address - Fax:
Practice Address - Street 1:2000 W BETHANY HOME RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-2443
Practice Address - Country:US
Practice Address - Phone:602-249-0212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32350207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ860373636OtherHUMANA GROUP NBR
AZAZ0728670OtherBLUECROSS BLUESHIELD GRP
AZ871071Medicaid
AZ453051001OtherGROUPHEALTH GROUP NUMBER
AZAW1436OtherHEALTHNET GROUP NUMBER
AZ3981220OtherEVERCARE GROUP NUMBER