Basic Information
| Provider Information | |||||||||
| NPI: | 1114966488 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RUPPEL | ||||||||
| FirstName: | DENNIS | ||||||||
| MiddleName: | FRANKLIN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3480 REFUGEE RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432324814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142354039 | ||||||||
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| Practice Location | |||||||||
| Address1: | 55 N HIGH ST | ||||||||
| Address2: | |||||||||
| City: | NEW ALBANY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430547099 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6146271878 | ||||||||
| FaxNumber: | 6148554813 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2006 | ||||||||
| LastUpdateDate: | 03/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 35046882 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0569139 | 05 | OH | MEDICAID | 080179631 | 01 | OH | RAILROAD MEDICARE PIN | OTHER |