MEDICARE: NICHOLAS ALEXANDER RAUBITSCHEK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A154119	CA
2	207Q00000X	Family Medicine Physician	36.16363	IL
3	207Q00000X	Family Medicine Physician	45880	AL
4	207Q00000X	Family Medicine Physician	EMC0002980	MI
5	207Q00000X	Family Medicine Physician	69289	AZ
6	207Q00000X	Family Medicine Physician	ME162230	FL
7	207Q00000X	Family Medicine Physician	94754	GA
8	207Q00000X	Family Medicine Physician	35.140278	OH
9	207Q00000X	Family Medicine Physician	U2109	TX
10	207Q00000X	Family Medicine Physician	IMLC.MD.61408269	WA
11	207Q00000X	Family Medicine Physician	2731-320	WI
12	207Q00000X	Family Medicine Physician	29933	WV

General Provider Information

NPI Number	:	1093101248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS ALEXANDER RAUBITSCHEK MD

Provider Business Mailing Address
First Line	:	48 HAMILL RD
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-4755
Country	:	US
Telephone Number	:	681-432-9270
Fax Number	:

Provider Business Practice Location Address
First Line	:	3952 TEAYS VALLEY RD
Second Line	:
City	:	HURRICANE
State	:	WV
Zip	:	25526-8728
Country	:	US
Telephone Number	:	304-757-6736
Fax Number	:	304-757-0582

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	11/07/2023

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