MEDICARE: JOHN W RINGWOOD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	39872	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00040098	OTHER	NC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	134M2	OTHER	NC	BCBSNC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083651319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN W RINGWOOD M.D.

Provider Business Mailing Address
First Line	:	1900 RANDOLPH RD
Second Line	:	STE 900
City	:	CHARLOTTE
State	:	NC
Zip	:	28207-1106
Country	:	US
Telephone Number	:	704-377-2424
Fax Number	:	704-377-2687

Provider Business Practice Location Address
First Line	:	1900 RANDOLPH RD
Second Line	:	STE 900
City	:	CHARLOTTE
State	:	NC
Zip	:	28207-1106
Country	:	US
Telephone Number	:	704-377-2424
Fax Number	:	704-377-2687

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	10/25/2007

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Directions to “ JOHN W RINGWOOD M.D.” Practice Location

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