Provider Demographics
NPI:1477700979
Name:RABUCK, STEPHEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:RABUCK
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:FORBES TOWER SUITE 9055
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-647-3087
Mailing Address - Fax:412-647-4486
Practice Address - Street 1:600 OXFORD DR
Practice Address - Street 2:SUITE 210
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2355
Practice Address - Country:US
Practice Address - Phone:412-687-3900
Practice Address - Fax:412-372-1064
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2015-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD446526207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102748050Medicaid
PA102748050Medicaid