# ANDREW RUPPERSBERGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164472486
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS011909 | PA | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 02/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 101258340-01 | AMERICHOICE | PA |
| 05 | — | 1012583400002 | — | PA |
| 05 | — | 1012583400003 | — | PA |
| 05 | — | 1012583400004 | — | PA |
| 05 | — | 1012583400005 | — | PA |
| 01 | — | 1490043 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 2179736000 | IBC, KEYSTONE | PA |
| 01 | — | 2459092 | UNITED HEALTHCARE | PA |
| 01 | — | 30023590 | KEYSTONE MERCY | PA |
| 01 | — | 3193133 | AETNA | PA |
| 01 | — | 35651 | HEALTH PARTNERS | PA |
| 01 | — | 7172572 | CIGNA | PA |