Provider Demographics
NPI:1497714935
Name:RINGEL, MARC (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:
Last Name:RINGEL
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 1:2215 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-6756
Mailing Address - Country:US
Mailing Address - Phone:720-431-2919
Mailing Address - Fax:
Practice Address - Street 1:2726 W 11TH STREET RD
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-5408
Practice Address - Country:US
Practice Address - Phone:970-352-8487
Practice Address - Fax:970-475-0051
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20271207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01202712Medicaid
539108Medicare ID - Type Unspecified
COCF25448Medicare PIN
CO01202712Medicaid