Basic Information
| Provider Information | |||||||||
| NPI: | 1386711810 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | RONALD L. GINSBERG, MD, FACP, PA | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 19 WALKER AVE | ||||||||
| Address2: | SUITE 302 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212084075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104844840 | ||||||||
| FaxNumber: | 4104841084 | ||||||||
| Practice Location | |||||||||
| Address1: | 19 WALKER AVE | ||||||||
| Address2: | SUITE 302 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212084075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104844840 | ||||||||
| FaxNumber: | 4104841084 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/29/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | GINSBERG | ||||||||
| AuthorizedOfficialFirstName: | RONALD | ||||||||
| AuthorizedOfficialMiddleName: | LAWRENCE | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4104844840 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | D14133 | MD | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 4281798 | 01 | AETNA | OTHER | AMERIGROUP | 01 | 06227 | OTHER | KCW5 | 01 | MD | CAREFIRST MD | OTHER | G3470001 | 01 | DC | CAREFIRST DC | OTHER | 413358 | 01 | MAMSI | OTHER |