Provider Demographics
NPI:1982627857
Name:SUSAN E RING MD AND ASSOCIATES
Entity Type:Organization
Organization Name:SUSAN E RING MD AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:RING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-233-1184
Mailing Address - Street 1:1004 FIRST COLONIAL RD
Mailing Address - Street 2:102
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454
Mailing Address - Country:US
Mailing Address - Phone:757-233-1184
Mailing Address - Fax:757-321-6145
Practice Address - Street 1:1004 FIRST COLONIAL RD
Practice Address - Street 2:102
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454
Practice Address - Country:US
Practice Address - Phone:757-233-1184
Practice Address - Fax:757-321-6145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA12000OtherOPTIMA
VA217297OtherBCBS
D94227Medicare UPIN