Provider Demographics
NPI:1598761140
Name:RINGELMAN, PAUL R (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:R
Last Name:RINGELMAN
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 1:7505 OSLER DR
Mailing Address - Street 2:STE 403
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7736
Mailing Address - Country:US
Mailing Address - Phone:410-823-3885
Mailing Address - Fax:410-823-6888
Practice Address - Street 1:7505 OSLER DR
Practice Address - Street 2:STE 403
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-7736
Practice Address - Country:US
Practice Address - Phone:410-823-3885
Practice Address - Fax:410-823-6888
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00326372086S0122X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD520913207OtherCORP TAX ID
MD52665001OtherCAREFIRST BLUE SHIELD
MDD74406Medicare UPIN
MD231LMedicare PIN
MD231L336BMedicare ID - Type Unspecified