Basic Information
| Provider Information | |||||||||
| NPI: | 1922075761 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HESS | ||||||||
| FirstName: | REUBEN | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVENUE | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172174217 | ||||||||
| Practice Location | |||||||||
| Address1: | 1964 BUCHANAN TRAIL E | ||||||||
| Address2: | |||||||||
| City: | SHADY GROVE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175977131 | ||||||||
| FaxNumber: | 7175970898 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2006 | ||||||||
| LastUpdateDate: | 02/03/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD043466E | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | MD043466E | PA | N | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 50064071 | 01 | PA | CAPITAL BLUECROSS | OTHER | P00346777 | 01 | PA | RAILROAD MEDICARE | OTHER | 120420414 | 01 | PA | DEPT OF LABOR | OTHER | 1007307260034 | 01 | PA | MEDICAID GROUP # | OTHER | HE408036 | 01 | PA | HIGHMARK BLUESHIELD | OTHER | MD043466E | 01 | PA | LICENSE | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | 5735608 | 01 | PA | FIRST HEALTH | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER | 25-1716306 | 01 | PA | GREATWEST | OTHER | 7106935 | 01 | PA | AETNA NON-HMO | OTHER | 0011733010001 | 05 | PA | MEDICAID | 194215 | 01 | PA | UNISON | OTHER | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 452023 | 01 | PA | HEALTH AMERICA | OTHER | 1422905 | 01 | PA | AETNA HMO | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER | BH0895322 | 01 | PA | DEA | OTHER | G920-0052/KDM4CU | 01 | PA | CAREFIRST | OTHER |