Jason A Rupeka, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-008796 Issued in OH

Practice address

2218 E Market St
Warren, OH 44483-6106

Phone

(330) 392-5800

Fax

(330) 259-7792

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485648000000",
    "number": "1942361928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836106",
            "telephone_number": "330-392-5800",
            "fax_number": "330-259-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836106",
            "telephone_number": "330-392-5800",
            "fax_number": "330-259-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPEKA",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-008796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2704943",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Ruberto
• Michael Scott Rudd, FNP-C
• Diane Ruffin
• Barbara A Ruiter, CRNP
• Jessica Rullo
• Tyrese Rushton
• Billie Russell
• Jessica Nicole Jack Russell, LISW
• Reina Elizabeth Russell
• Jasmine Rutledge

• Family Medicine Physician in Warren, OH
• Providers in Warren, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.