Individual
RALPH T. SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, DEPT. OF RADIOLOGY, CINCINNATI, OH 45267-1000
(513) 584-2146
(513) 584-0431
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3107
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-05-0619
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013959
ANTHEM
OH
05
—
000903482X
—
GA
05
—
009978615
—
AL
05
—
0117234000
—
WV
05
—
0557008
—
OH
01
—
1620989
UNITED HEALTHCARE
OH
05
—
200039270A
—
IN
01
—
300033848
MEDICARE RAILROAD
OH
05
—
64784127
—
KY
01
—
655263
AETNA
OH
Enumeration date
07/07/2006
Last updated
02/20/2018
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