Provider Demographics
NPI:1740243500
Name:RUPP, JAMES F (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:RUPP
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1945
Mailing Address - Country:US
Mailing Address - Phone:724-654-3182
Mailing Address - Fax:724-654-8578
Practice Address - Street 1:1906 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1945
Practice Address - Country:US
Practice Address - Phone:724-654-3182
Practice Address - Fax:724-654-8578
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA003065L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1088695Medicaid
T72679Medicare UPIN
RU110545Medicare ID - Type Unspecified
RU110545Medicare PIN