Healthcare Provider Details

I. General information

NPI: 1871688598
Provider Name (Legal Business Name): SCOTT A RIPPLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 N 7TH ST
TERRE HAUTE IN
47804-2706
US

IV. Provider business mailing address

6825 N COUNTY ROAD 425 W
BRAZIL IN
47834-7258
US

V. Phone/Fax

Practice location:
  • Phone: 812-238-7000
  • Fax: 812-238-7444
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01041603A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01041603A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: