Provider Demographics
NPI:1326120700
Name:RIPLEY, ROBERT CRAIG (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:CRAIG
Last Name:RIPLEY
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 1:397 WALLACE ROAD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211
Mailing Address - Country:US
Mailing Address - Phone:615-832-8731
Mailing Address - Fax:615-833-5178
Practice Address - Street 1:397 WALLACE ROAD
Practice Address - Street 2:SUITE 216
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211
Practice Address - Country:US
Practice Address - Phone:615-832-8731
Practice Address - Fax:615-833-5178
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9344207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
2007646OtherBCBS OF TN
TN3706183Medicaid
A98227Medicare UPIN
2007646OtherBCBS OF TN