Basic Information
| Provider Information | |||||||||
| NPI: | 1245244524 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RUEHSEN | ||||||||
| FirstName: | HANS | ||||||||
| MiddleName: | J. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 745 | ||||||||
| Address2: | |||||||||
| City: | NEWCASTLE | ||||||||
| State: | ME | ||||||||
| PostalCode: | 045530745 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2075634511 | ||||||||
| FaxNumber: | 2075634103 | ||||||||
| Practice Location | |||||||||
| Address1: | 35 MILES STREET | ||||||||
| Address2: | |||||||||
| City: | DAMARISCOTTA | ||||||||
| State: | ME | ||||||||
| PostalCode: | 045434047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2075634268 | ||||||||
| FaxNumber: | 2075634103 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2006 | ||||||||
| LastUpdateDate: | 04/09/2012 | ||||||||
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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 | 208M00000X | MD16602 | ME | Y | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 0106602 | ME | N | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 424070099 | 05 | ME | MEDICAID | P00222027 | 01 | RAILROAD MEDICARE | OTHER | 7193657 | 01 | AETNA NON HMO | OTHER | 3609027 | 01 | AETNA HMO | OTHER | AA24133 | 01 | HARVARD PILGRIM | OTHER | 061204 | 01 | ME | ANTHEM | OTHER |