Provider Demographics
NPI:1114966488
Name:RUPPEL, DENNIS FRANKLIN (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:FRANKLIN
Last Name:RUPPEL
Suffix:
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 1:3480 REFUGEE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4814
Mailing Address - Country:US
Mailing Address - Phone:614-235-4039
Mailing Address - Fax:
Practice Address - Street 1:55 N HIGH ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-7099
Practice Address - Country:US
Practice Address - Phone:614-627-1878
Practice Address - Fax:614-855-4813
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046882207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0569139Medicaid
OH080179631OtherRAILROAD MEDICARE PIN
OH0569139Medicaid
OHA80211Medicare UPIN