Provider Demographics
NPI:1063442465
Name:RUBI, DIONISIO JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:DIONISIO
Middle Name:JOSE
Last Name:RUBI
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 1:1 MED CENTER DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26301-4155
Mailing Address - Country:US
Mailing Address - Phone:304-623-3461
Mailing Address - Fax:
Practice Address - Street 1:1 MED CENTER DR
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:WV
Practice Address - Zip Code:26301-4155
Practice Address - Country:US
Practice Address - Phone:304-623-3461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2012-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD420735207R00000X
MDDO059673207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA137900OtherUNISON-WMG ACIM
PA2132214000OtherAMERIHEALTH 65 PA
PA20019363OtherAMERIHEALTH MERCY-WMG
PA7101051OtherAETNA
PAP004625OtherGATEWAY-WMG ACIM
PA1551851OtherGATEWAY-WMG GB HOSP
PA50059537OtherCAPITAL BC-WMG GB HOSP
PA1448854OtherHIGHMARK BLUE SHIELD
PA2106731OtherMAMSI-WMG ACIM
PA2161249OtherMAMSI-WMG GB HOSP
MD401852400Medicaid
PA001952510Medicaid
PA183803OtherUNISON-WMG GB HOSPITALIST
MD619852OtherCAREFIRST MD BCBS
PA100477OtherGEISINGER
PA105205OtherJOHNS HOPKINS
PA50018564OtherCAPITAL BC-WMG ACIM
PA183803OtherUNISON-WMG GB HOSPITALIST
PA50018564OtherCAPITAL BC-WMG ACIM
H81695Medicare UPIN