Provider Demographics
NPI:1922075761
Name:HESS, REUBEN D (MD)
Entity Type:Individual
Prefix:DR
First Name:REUBEN
Middle Name:D
Last Name:HESS
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 1:785 5TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4217
Practice Address - Street 1:1964 BUCHANAN TRAIL E
Practice Address - Street 2:
Practice Address - City:SHADY GROVE
Practice Address - State:PA
Practice Address - Zip Code:17256
Practice Address - Country:US
Practice Address - Phone:717-597-7131
Practice Address - Fax:717-597-0898
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043466E207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50064071OtherCAPITAL BLUECROSS
PAP00346777OtherRAILROAD MEDICARE
PA120420414OtherDEPT OF LABOR
PA1007307260034OtherMEDICAID GROUP #
PAHE408036OtherHIGHMARK BLUESHIELD
PAMD043466EOtherLICENSE
PA25-1716306OtherMULTIPLAN/PHCS
PA5735608OtherFIRST HEALTH
PA867633OtherMEDICARE GROUP #
PA25-1716306OtherINFORMED
PA25-1716306OtherGREATWEST
PA7106935OtherAETNA NON-HMO
PA0011733010001Medicaid
PA194215OtherUNISON
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA25-1716306OtherHEALTHNET/TRICARE
PA25-1716306OtherINTERGROUP
PA452023OtherHEALTH AMERICA
PA1422905OtherAETNA HMO
PA25-1716306OtherDEVON
PAG920-0052/KDM4CUOtherCAREFIRST
PAG920-0052/KDM4CUOtherCAREFIRST
PA0011733010001Medicaid
408036LN7Medicare PIN