Provider Demographics
NPI:1427027366
Name:RIPPLE, GARY R (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:R
Last Name:RIPPLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4321 WASHINGTON ST
Mailing Address - Street 2:SUITE 6000, MEDICAL PLAZA III,
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-5961
Mailing Address - Country:US
Mailing Address - Phone:816-756-2255
Mailing Address - Fax:816-931-4080
Practice Address - Street 1:4321 WASHINGTON ST
Practice Address - Street 2:SUITE 6000, MEDICAL PLAZA III,
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5961
Practice Address - Country:US
Practice Address - Phone:816-756-2255
Practice Address - Fax:816-931-4080
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0429140207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00339709OtherRAILROAD MEDICARE
105830OtherBCBS KS
KSH37033Medicare UPIN
021E688CMedicare PIN
021E688Medicare PIN