Provider Demographics
NPI:1245413764
Name:RUFUS A REUBEN MD INTERNAL MEDICINE & GERIATRICS INC
Entity Type:Organization
Organization Name:RUFUS A REUBEN MD INTERNAL MEDICINE & GERIATRICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUFUS
Authorized Official - Middle Name:A
Authorized Official - Last Name:REUBEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-926-9409
Mailing Address - Street 1:275 GRAHAM RD
Mailing Address - Street 2:SUITE #4
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-2259
Mailing Address - Country:US
Mailing Address - Phone:330-926-9409
Mailing Address - Fax:330-926-9428
Practice Address - Street 1:275 GRAHAM RD
Practice Address - Street 2:SUITE #4
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-2259
Practice Address - Country:US
Practice Address - Phone:330-926-9409
Practice Address - Fax:330-926-9428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHNE9999OtherMEDICAL MUTUAL OF OMAHA
OHQG05263OtherHEALTH PLAN UPPER OH VALL
OH000000323215OtherANTHEM BLUE CROSS/BLUE SH
OH33678027400OtherBWC
OH406165OtherWELLCARE
OH0975324Medicaid
OH336780274015OtherMEDICAL MUTUAL
OH0005670529OtherAETNA
OH1245413764OtherTRICARE
OH110235464OtherRAILROAD MEDICARE
OH729278OtherBUCKEYE COMM. HEALTH
OH000000204847OtherUNISON
OHC002051273005OtherUH
OH406165OtherWELLCARE
OH0005670529OtherAETNA
OH336780274015OtherMEDICAL MUTUAL
OH=========0001OtherCIGNA
OHC002051273005OtherUH