Provider Demographics
NPI:1699792424
Name:RING, ERIC WALLACE (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:WALLACE
Last Name:RING
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 1:229 W STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-3663
Mailing Address - Country:US
Mailing Address - Phone:541-618-6445
Mailing Address - Fax:541-618-6452
Practice Address - Street 1:229 W STEWART AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-3663
Practice Address - Country:US
Practice Address - Phone:541-618-6445
Practice Address - Fax:541-618-6452
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD21278207Q00000X
OR21278MD207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR105049OtherMEDICARE GROUP PIN
ORP00359106OtherRAILROAD MEDICARE
OR287440Medicaid
OR287440Medicaid
ORR105049OtherMEDICARE GROUP PIN
ORP00359106OtherRAILROAD MEDICARE