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General NPI Number Information
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NPI Number | 1578595963
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Entity Type | Individual
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Provider Name | RALPH T. SHIPLEY MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 234 GOODMAN ST DEPT. OF RADIOLOGY
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City | CINCINNATI
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State | OH
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Zip | 45267-1000
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Country | US
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Telephone | 513-584-2146
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Fax | 513-584-0431
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Provider Business Mailing Address
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Address Line | PO BOX 636256 CENTRAL CREDENTIALING
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City | CINCINNATI
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State | OH
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Zip | 45263-6256
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Country | US
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Telephone | 513-245-3107
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Fax | 513-585-5511
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35-05-0619
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License Number State | OH
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