Provider Demographics
NPI:1679645824
Name:PAINTON, RONALD PHILLIP (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:PHILLIP
Last Name:PAINTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5401 N PORTLAND
Mailing Address - Street 2:STE 310
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2082
Mailing Address - Country:US
Mailing Address - Phone:405-951-4160
Mailing Address - Fax:405-951-4162
Practice Address - Street 1:5401 N PORTLAND
Practice Address - Street 2:STE 310
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2082
Practice Address - Country:US
Practice Address - Phone:405-951-4160
Practice Address - Fax:405-951-4162
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK9995207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
C95332Medicare UPIN