Provider Demographics
NPI:1376565648
Name:DOUBLER, REBECCA CHRISTINE (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:CHRISTINE
Last Name:DOUBLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:C
Other - Last Name:RAVAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7001 S EDGERTON RD
Mailing Address - Street 2:STE A
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-4206
Mailing Address - Country:US
Mailing Address - Phone:440-717-0591
Mailing Address - Fax:440-717-0594
Practice Address - Street 1:5319 HOAG DR
Practice Address - Street 2:
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44035-1494
Practice Address - Country:US
Practice Address - Phone:440-930-6050
Practice Address - Fax:440-934-8882
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-083608R207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000221235OtherUNISON
OH2486706Medicaid
OH7867591OtherAETNA
OHP00137563OtherRAILROAD MEDICARE
OH000000516058OtherANTHEM
MI1376565648OtherMICHIGAN MEDICAID
OH0583328OtherBCMH
OH363938OtherWELLCARE MEDICAID
OH750527OtherBUCKEYE MEDICAID
OHP00398018OtherRAILROAD MEDICARE
OHP00764393OtherMEDICARE RAILROAD
I07456Medicare UPIN
OH0583328OtherBCMH
OH750527OtherBUCKEYE MEDICAID
OHRA4134002Medicare PIN