MEDICARE: DOUGLAS J RIPKIN 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	207W00000X	Ophthalmology Physician	35046927	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00966613	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750338315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS J RIPKIN M.D.

Provider Business Mailing Address
First Line	:	9424 STATE ROUTE 14
Second Line	:
City	:	STREETSBORO
State	:	OH
Zip	:	44241-5226
Country	:	US
Telephone Number	:	330-422-1111
Fax Number	:	330-422-1110

Provider Business Practice Location Address
First Line	:	9424 STATE ROUTE 14
Second Line	:
City	:	STREETSBORO
State	:	OH
Zip	:	44241-5226
Country	:	US
Telephone Number	:	330-422-1111
Fax Number	:	330-422-1110

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

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	10/13/2014

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Directions to “ DOUGLAS J RIPKIN M.D.” Practice Location

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