Basic Information
| Provider Information | |||||||||
| NPI: | 1801877758 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GINSBERG | ||||||||
| FirstName: | RONALD | ||||||||
| MiddleName: | LAWRENCE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19 WALKER AVE | ||||||||
| Address2: | |||||||||
| 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: | 11/08/2005 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | D14133 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | G3470001 | 01 | DC | CAREFIRST PROVIDER NUMBER | OTHER | 06227 | 01 | MD | AMERIGROUP PROVIDER NUMBE | OTHER | 2997934 | 01 | MD | AETNA HMO PROVIDER NUMBER | OTHER | 413358 | 01 | MD | MAMSI PROVIDER NUMBER | OTHER | 4281798 | 01 | MD | AETNA PPO PROVIDER NUMBER | OTHER | KCW5 | 01 | MD | CAREFIRST PROVIDER NUMBER | OTHER |