Provider Demographics
NPI:1740286194
Name:RINGER, CARL NELSON (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:NELSON
Last Name:RINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:C.
Other - Middle Name:NELSON
Other - Last Name:RINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:64 DOCTORS PARK
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-4928
Mailing Address - Country:US
Mailing Address - Phone:573-334-5265
Mailing Address - Fax:573-334-3648
Practice Address - Street 1:64 DOCTORS PARK
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-4928
Practice Address - Country:US
Practice Address - Phone:573-334-5265
Practice Address - Fax:573-334-3648
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR5781207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO167605OtherHEALTHLINK
MO21770OtherBLUE CROSS BLUE SHIELD
MO304905OtherGHP
MO180011265OtherRAILROAD MEDICARE
MO146185OtherHEALTH ALLIANCE
MO1610073OtherUNITED HEALTHCARE
MO304905OtherGHP
MO146185OtherHEALTH ALLIANCE