Individual
RICHARD A ANSINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2483 HIGHWAY 644, SUITE 103, LOUISA, KY 41230-9242
(606) 638-9954
(606) 638-3595
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 324-4745
(606) 324-4941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37822
KY
207RC0000X
Cardiovascular Disease Physician
37822
KY
207RI0011X
Interventional Cardiology Physician
Primary
37822
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000318335
ANTHEM BCBS
KY
01
—
000023970
MT STATE BCBS
WV
05
—
0085510000
—
WV
05
—
0676522
—
OH
05
—
64071392
—
KY
01
—
P00065868
RAILROAD MEDICARE
—
Enumeration date
11/02/2005
Last updated
04/15/2015
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