Provider Demographics
NPI:1760489363
Name:RIPOLL, IGNACIO (MD)
Entity Type:Individual
Prefix:DR
First Name:IGNACIO
Middle Name:
Last Name:RIPOLL
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 1:3241 WESTERN BRANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5260
Mailing Address - Country:US
Mailing Address - Phone:757-686-3508
Mailing Address - Fax:757-686-0541
Practice Address - Street 1:6025 PROVIDENCE RD
Practice Address - Street 2:STE 110
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-3808
Practice Address - Country:US
Practice Address - Phone:757-474-7447
Practice Address - Fax:757-474-7477
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101026535174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0004004821OtherAETNA US HEALTH
48-00018OtherUNITED HEALTHCARE
FL911940000OtherMEDICAID OF FLORIDA
541910047OtherAETNA
NC790518QMedicaid
VA005818800Medicaid
110179234OtherRAILROAD MEDICARE
VA325173OtherANTHEM BC/BS
PA603296OtherBC/BS OF PENNSYLVANIA
361931OtherMAMSI/MDIPA/OPITMUM CHOIC
VA541910047OtherVA HEALTH NETWORK
290358OtherPHCS
TX0770109Medicaid
15246OtherSENTARA
541910047OtherCIGNA
CAXPY081400OtherEDS MEDI-CAL
P12004433OtherMULTIPLAN
15246OtherSENTARA
VA325173OtherANTHEM BC/BS