Basic Information
| Provider Information | |||||||||
| NPI: | 1326076811 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RUPP | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | PAUL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21444 CARMEAN WAY | ||||||||
| Address2: | |||||||||
| City: | GEORGETOWN | ||||||||
| State: | DE | ||||||||
| PostalCode: | 19947 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3028552020 | ||||||||
| FaxNumber: | 3028552025 | ||||||||
| Practice Location | |||||||||
| Address1: | 21444 CARMEAN WAY | ||||||||
| Address2: | |||||||||
| City: | GEORGETOWN | ||||||||
| State: | DE | ||||||||
| PostalCode: | 19947 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3028552020 | ||||||||
| FaxNumber: | 3028552025 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2006 | ||||||||
| LastUpdateDate: | 06/25/2019 | ||||||||
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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 | 207V00000X | C10002432 | DE | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 2197629 | 01 | DE | CIGNA | OTHER | 26408 | 01 | DE | COVENTRY | OTHER | 4273333 | 01 | DE | AETNA | OTHER | 412040910 | 01 | DE | DE BLUE CROSS BLUE SHIELD | OTHER | 315676 | 01 | DE | MAMSI PLANS | OTHER | 35303201 | 01 | MD | CAREFIRST MD | OTHER | 412040910 | 01 | DE | TRICARE | OTHER | 000000208474 | 01 | DE | UNISON | OTHER | 412040910 | 01 | DE | UNITED HEALTHCARE | OTHER | 0000020301 | 05 | DE | MEDICAID | 2146190000 | 01 | DE | AMERIHEALTH | OTHER |