Provider Demographics
NPI:1649264219
Name:OSTING, RALPH G (DPM)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:G
Last Name:OSTING
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 SEVEN PINES DR
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-3313
Mailing Address - Country:US
Mailing Address - Phone:440-537-8312
Mailing Address - Fax:
Practice Address - Street 1:860 WOODVILLE RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-2167
Practice Address - Country:US
Practice Address - Phone:440-537-8312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2012-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-00-2996-0213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH742135OtherBUCKEYE
OH5443360001OtherADMINISTAR FEDERAL DME
OHP00143542OtherRR MEDICARE
OH000000193876OtherUNISON
OH22-11188OtherUNITED HEATLHCARE
OH2338938Medicaid
OH341834383028OtherCARESOURCE
OH8476434OtherCIGNA
OH000000331963OtherANTHEM BC & BS
OH0055989Medicaid
7181421OtherAETNA
OH000000193876OtherUNISON
7181421OtherAETNA
OH341834383028OtherCARESOURCE
OH0055989Medicaid
OH000000193876OtherUNISON