Provider Demographics
NPI:1447256839
Name:WAINZ, RONALD J (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:J
Last Name:WAINZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2109 HUGHES DR
Mailing Address - Street 2:STE 760
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-5111
Mailing Address - Country:US
Mailing Address - Phone:419-291-7555
Mailing Address - Fax:419-479-2696
Practice Address - Street 1:2109 HUGHES DR
Practice Address - Street 2:STE 760
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-5111
Practice Address - Country:US
Practice Address - Phone:419-291-7555
Practice Address - Fax:419-479-2696
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH58375207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0742692Medicaid
OHPARAMOUNTOther00713
OH000000135801OtherANTHEM
MI290D610410OtherBLUE CROSS OF MI
MI4648159Medicaid
MI4365000Medicaid
OH711246OtherBUCKEYE COMM HEALTH
MI2648697Medicaid
OH026011200OtherFEDERAL BALCK LUNG
OH026011200OtherENERGY EMPLOYESS OCCUP IL
MI107274OtherGREAT LAKES HEALTH PLAN
OH34164561200OtherBUR OF WORKERS COMP
OH4080258OtherAETNA
OH4080258OtherAETNA
OH0644981Medicare ID - Type Unspecified
MI2648697Medicaid
MI4365000Medicaid
OHB44908Medicare UPIN