Provider Demographics
NPI:1245244524
Name:RUEHSEN, HANS J (MD)
Entity Type:Individual
Prefix:
First Name:HANS
Middle Name:J
Last Name:RUEHSEN
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:P.O. BOX 745
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:ME
Mailing Address - Zip Code:04553-0745
Mailing Address - Country:US
Mailing Address - Phone:207-563-4511
Mailing Address - Fax:207-563-4103
Practice Address - Street 1:35 MILES STREET
Practice Address - Street 2:
Practice Address - City:DAMARISCOTTA
Practice Address - State:ME
Practice Address - Zip Code:04543-4047
Practice Address - Country:US
Practice Address - Phone:207-563-4268
Practice Address - Fax:207-563-4103
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD16602208M00000X
ME0106602208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME424070099Medicaid
P00222027OtherRAILROAD MEDICARE
7193657OtherAETNA NON HMO
3609027OtherAETNA HMO
AA24133OtherHARVARD PILGRIM
ME061204OtherANTHEM
ME1056Medicare PIN
3609027OtherAETNA HMO
ME061204OtherANTHEM