Provider Demographics
NPI:1609079151
Name:SHUMADINE, JASON THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:THOMAS
Last Name:SHUMADINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JASON
Other - Middle Name:SHUMADINE
Other - Last Name:WOLFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-5689
Mailing Address - Fax:
Practice Address - Street 1:1950 GLENN MITCHELL DR STE 100
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-0019
Practice Address - Country:US
Practice Address - Phone:757-507-0425
Practice Address - Fax:757-507-0426
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.2042622085R0001X
MDD00979832085R0001X
FLME1031632085R0001X
VA01012386792085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology