Provider Demographics
NPI:1306939145
Name:RINGEL, STEPHEN J (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:J
Last Name:RINGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 REGIONAL MEDICAL DRIVE
Mailing Address - Street 2:SUITE 1319
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-7227
Mailing Address - Country:US
Mailing Address - Phone:979-282-2786
Mailing Address - Fax:979-282-2830
Practice Address - Street 1:2022 REGIONAL MEDICAL DRIVE
Practice Address - Street 2:SUITE 1319
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-7227
Practice Address - Country:US
Practice Address - Phone:979-282-2786
Practice Address - Fax:979-282-2830
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3201207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05532731Medicaid
MS200000452Medicare ID - Type UnspecifiedMCR MS
B19052Medicare UPIN
MS05532731Medicaid