Healthcare Provider Details

I. General information

NPI: 1033161856
Provider Name (Legal Business Name): TIMOTHY PATRICK RIPPLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 N SHORE DR
RHINELANDER WI
54501-6710
US

IV. Provider business mailing address

2251 N SHORE DR
RHINELANDER WI
54501-6710
US

V. Phone/Fax

Practice location:
  • Phone: 715-361-2000
  • Fax:
Mailing address:
  • Phone: 715-361-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberV8523
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number22489
License Number StateND
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberV8523
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME170884
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number45144
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: