Provider Demographics
NPI:1760517072
Name:AEBI, GINTY, ROMAKER & SPROUSE, MD'S, INC.
Entity Type:Organization
Organization Name:AEBI, GINTY, ROMAKER & SPROUSE, MD'S, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:ROMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-687-1622
Mailing Address - Street 1:1800 GRANVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1043
Mailing Address - Country:US
Mailing Address - Phone:740-687-1622
Mailing Address - Fax:740-687-1518
Practice Address - Street 1:1800 GRANVILLE PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1043
Practice Address - Country:US
Practice Address - Phone:740-687-1622
Practice Address - Fax:740-687-1518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHC12942OtherRAILROAD MEDICARE
OH0122549Medicaid
OHAE9266661Medicare ID - Type Unspecified