Provider Demographics
NPI:1932136595
Name:RINGENBERG, ROY A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:A
Last Name:RINGENBERG
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:PO BOX 30941
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27622-0941
Mailing Address - Country:US
Mailing Address - Phone:765-506-2638
Mailing Address - Fax:888-959-3950
Practice Address - Street 1:7601 FALLS OF NEUSE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615
Practice Address - Country:US
Practice Address - Phone:765-506-2638
Practice Address - Fax:888-959-3950
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2014-02153174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIAR9512143OtherDEA
MI1101110421OtherBLUE CROSS PIN
MIAR9512143OtherDEA