Provider Demographics
NPI:1326132457
Name:ZINNER, RALPH G (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:G
Last Name:ZINNER
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 1:800 ROSE ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-7001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HEAD, NECK AND RESPIRATORY CLINIC
Practice Address - Street 2:800 ROSE STREET, 2ND FLOOR
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:859-257-4488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTP846207RX0202X
TXK8598207RX0202X
PAMD058072L207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0486337Medicaid
TX900002762OtherRR MEDICARE
TX37439901Medicaid
PA103069127 0001Medicaid
TX84690XOtherBCBS
TX8068J4Medicare PIN
PA456719Medicare PIN
TX84690XOtherBCBS