Provider Demographics
NPI:1326076811
Name:RUPP, JAMES PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PAUL
Last Name:RUPP
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 1:21444 CARMEAN WAY
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947
Mailing Address - Country:US
Mailing Address - Phone:302-855-2020
Mailing Address - Fax:302-855-2025
Practice Address - Street 1:21444 CARMEAN WAY
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947
Practice Address - Country:US
Practice Address - Phone:302-855-2020
Practice Address - Fax:302-855-2025
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10002432207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE2197629OtherCIGNA
DE26408OtherCOVENTRY
DE4273333OtherAETNA
DE412040910OtherDE BLUE CROSS BLUE SHIELD
DE315676OtherMAMSI PLANS
MD35303201OtherCAREFIRST MD
DE412040910OtherTRICARE
DE000000208474OtherUNISON
DE412040910OtherUNITED HEALTHCARE
DE0000020301Medicaid
DE2146190000OtherAMERIHEALTH
DE26408OtherCOVENTRY
DEG01061Medicare PIN