Provider Demographics
NPI:1861484883
Name:REUBEN, RUFUS A (MD)
Entity Type:Individual
Prefix:MR
First Name:RUFUS
Middle Name:A
Last Name:REUBEN
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 1:275 GRAHAM RD
Mailing Address - Street 2:STE 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
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-6099R207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0975324Medicaid
OH1861484883OtherNPI
OH110235464OtherMEDICARE RAILROAD
OH0975324Medicaid
OH110235464OtherMEDICARE RAILROAD