Active NPI
Alan M. Ruben, M.D.
- Dermatology Physician
- Wheeling, WV
National Provider Identifier
1992790158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 11124
- Practice address
- 2101 Chapline St
Wheeling, WV 26003-3875 - Phone
- (304) 232-7151
- Fax
- (304) 232-6128
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 11124 | WV | Primary |
Addresses
Primary practice location
2101 Chapline St
Wheeling, WV 26003-3875
Mailing address
PO Box 894830
Lock Box 4830
Los Angeles, CA 90189-4830
Phone (304) 232-7151
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126124XF4 | Other | PA | PTAN FOR JOEL SIEGEL PRACTICE |
| P00654345 | Other | PA | MEDICARE RAILROAD |
| P00767380 | Other | PA | RAILROAD MEDICARE |
| RU2030643 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11124 | WV | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Robert West, M.D., Inc | Dermatology | Current | Accepting new patients |
| Ohio Valley Dermatology Associates | Dermatology | Current | Accepting new patients |
| West Dermatology of Pennsylvania a Professional Medical Corporation | Dermatology | Past | Accepting new patients |
Locations
150 W Beau St
Ste 308
Washington, PA 15301
Phone (724) 225-1505
2101 Chapline St
Wheeling, WV 26003
Phone (304) 232-7151
1038 Market St
Wheeling, WV 26003
Phone (304) 232-4266
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Dermatology Physician
- Washington, PA
- NPI 1821265943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1992790158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 894830",
"address_2": "LOCK BOX 4830",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "901894830",
"telephone_number": "304-232-7151",
"fax_number": "304-232-6128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 CHAPLINE ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033875",
"telephone_number": "304-232-7151",
"fax_number": "304-232-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBEN",
"first_name": "ALAN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WV",
"license": "11124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN FOR JOEL SIEGEL PRACTICE",
"identifier": "126124XF4",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00654345",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00767380",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "RU2030643",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.