Provider Demographics
NPI:1225339401
Name:RINGLE, KURT ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:ANTHONY
Last Name:RINGLE
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 1:4649 CARRINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-9132
Mailing Address - Country:US
Mailing Address - Phone:614-876-9155
Mailing Address - Fax:
Practice Address - Street 1:4661 SAWMILL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-6123
Practice Address - Country:US
Practice Address - Phone:614-583-1133
Practice Address - Fax:614-255-3992
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-04
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046530207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0537235Medicaid
RI0499304Medicare PIN
OH0537235Medicaid