Provider Demographics
NPI:1912906512
Name:RUPPEL, JAMES W (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:RUPPEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 12622
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4017
Mailing Address - Country:US
Mailing Address - Phone:443-481-6460
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:1460 RITCHIE HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2730
Practice Address - Country:US
Practice Address - Phone:410-757-6327
Practice Address - Fax:410-757-8461
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0025499207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0001OtherBCBS
MD5368055OtherAETNA
MD249501500Medicaid
MD3644141OtherAETNA HMO
MD9960OtherKAISER
MD35200809OtherBCBS
MD607156100OtherFEDERAL WORKMAN'S COMP
MD2133459OtherMAMSI
MD607156100OtherFEDERAL WORKMAN'S COMP
MD35200809OtherBCBS
MD249501500Medicaid