Basic Information
| Provider Information | |||||||||
| NPI: | 1710905476 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RUBELMANN | ||||||||
| FirstName: | DOUGLAS | ||||||||
| MiddleName: | ROBERT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3421 CONCORD RD | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174029001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178511405 | ||||||||
| FaxNumber: | 7178516969 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 S GEORGE ST | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033676 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512672 | ||||||||
| FaxNumber: | 7178512479 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD051367L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 01673802 | 01 | PA | CAPITAL BC-WMG SVFM | OTHER | 1142382 | 01 | PA | AH MERCY-WMG SVFM | OTHER | 163448 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 233293 | 01 | PA | MAMSI-WMG | OTHER | 5588045 | 01 | PA | AETNA | OTHER | 145923 | 01 | PA | UNISON-WMG CFA | OTHER | 1520143 | 01 | PA | GATEWAY-WMG | OTHER | 50021454 | 01 | PA | CAPITAL BC-WMG CFA | OTHER | 20025793 | 01 | PA | AH MERCY-WMG CFA | OTHER | 533543 | 01 | MD | CAREFIRST MD BCBS | OTHER | 258492 | 01 | PA | UNISON-WMG YFM | OTHER | 0723582000 | 01 | PA | AMERIHEALTH 65 PA | OTHER | 157300 | 01 | PA | UNISON-WMG SVFM | OTHER | 258490 | 01 | PA | UNISON-WMG HFM | OTHER | 001504039 | 05 | PA | MEDICAID | 030053 | 01 | PA | JOHNS HOPKINS | OTHER | 36659 | 01 | PA | GEISINGER | OTHER |