Healthcare Provider Details

I. General information

NPI: 1962570036
Provider Name (Legal Business Name): STEVEN G RIPPERGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 02/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 WASHINGTON AVE SUITE 2200
EVANSVILLE IN
47714-0541
US

IV. Provider business mailing address

PO BOX 359
EVANSVILLE IN
47703-0359
US

V. Phone/Fax

Practice location:
  • Phone: 812-485-7111
  • Fax:
Mailing address:
  • Phone: 812-485-1220
  • Fax: 812-485-8544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01025798
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number01025798
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number01025798
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: