Provider Demographics
NPI:1912945049
Name:RINGWALD, RONALD ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ALAN
Last Name:RINGWALD
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 1:424 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SPENCERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45887-1210
Mailing Address - Country:US
Mailing Address - Phone:419-647-4188
Mailing Address - Fax:419-647-4421
Practice Address - Street 1:107 N CANAL ST
Practice Address - Street 2:
Practice Address - City:SPENCERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45887-1121
Practice Address - Country:US
Practice Address - Phone:419-647-4188
Practice Address - Fax:419-647-4421
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067497207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0218213Medicaid
OHRI0795502Medicare ID - Type Unspecified
OH0218213Medicaid
OHG20038Medicare UPIN