Provider Demographics
NPI:1194777292
Name:ESCURO, RUBEN SALES (MD)
Entity type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:SALES
Last Name:ESCURO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RUBEN
Other - Middle Name:S
Other - Last Name:ESCURO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:41201 SCHADDEN ROAD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-2220
Mailing Address - Country:US
Mailing Address - Phone:440-324-0401
Mailing Address - Fax:440-324-0405
Practice Address - Street 1:41201 SCHADDEN ROAD
Practice Address - Street 2:SUITE 2
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-2220
Practice Address - Country:US
Practice Address - Phone:440-324-0401
Practice Address - Fax:440-324-0405
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH53202207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH341832420033OtherCARESOURCE
OHE53202OtherSUMMACARE
OH0688868Medicaid
OHCC6352OtherRAILROAD MEDICARE
OH830002970OtherRAILROAD MEDICARE
OH000000139924OtherANTHEM
OH30000941OtherUNITED HEALTHCARE
OH000000139924OtherANTHEM
OHE53202OtherSUMMACARE