Provider Demographics
NPI:1083705255
Name:MCCUE, RALPH W JR (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:W
Last Name:MCCUE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 EMBASSY PKWY
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-1782
Mailing Address - Country:US
Mailing Address - Phone:330-668-4055
Mailing Address - Fax:330-668-4077
Practice Address - Street 1:3925 EMBASSY PKWY
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-1782
Practice Address - Country:US
Practice Address - Phone:330-668-4055
Practice Address - Fax:330-668-4077
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35041093207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH200032672OtherRAILROAD MEDICARE PIN
OH0480046Medicaid
OH0506593Medicare PIN
OH200032672OtherRAILROAD MEDICARE PIN