| Madonna Ringswald Do Psc | |
|
1031 New Moody Ln Suite 301 Lagrange KY 40031-9151 | |
| (502) 222-1545 | |
| (502) 222-1679 |
| Full Name | Madonna Ringswald Do Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1031 New Moody Ln, Lagrange, Kentucky |
| Authorized Official Name and Position | Madonna Ringswald (OWNER) |
| Authorized Official Contact | 5022221545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madonna Ringswald Do Psc Po Box 65 Lagrange KY 40031-0065 Ph: (502) 222-1545 | Madonna Ringswald Do Psc 1031 New Moody Ln Suite 301 Lagrange KY 40031-9151 Ph: (502) 222-1545 |
| NPI Number | 1225169626 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225169626 | NPI | - | NPPES |
| 65919623 | Medicaid | KY | |
| 2434204000 | Other | KY | PASSPORT ADVANTAGE |
| 1055793 | Other | KY | PASSPORT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 02114 (Kentucky) | Primary |
Marcia D. Ebbs Md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 New Moody Ln, Suite 4, Lagrange, KY 40031 Phone: 502-222-3927 | |
Siraj Siddiqi M.d Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1019 Commerce Pkwy, Lagrange, KY 40031 Phone: 502-225-9098 Fax: 502-225-9851 | |
Ann E Roberts Md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1031 New Moody Lane, Ste 200, Lagrange, KY 40031 Phone: 502-222-3312 Fax: 502-222-2217 |