Provider Demographics
NPI:1487746186
Name:RINALDINI MEDICAL PRACTICE
Entity type:Organization
Organization Name:RINALDINI MEDICAL PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:RINALDINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-289-2212
Mailing Address - Street 1:2300 CONCRETE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CARLISLE
Mailing Address - State:KY
Mailing Address - Zip Code:40311-9721
Mailing Address - Country:US
Mailing Address - Phone:859-289-2212
Mailing Address - Fax:859-289-4744
Practice Address - Street 1:300 CONCRETE RD
Practice Address - Street 2:SUITE B
Practice Address - City:CARLISLE
Practice Address - State:KY
Practice Address - Zip Code:40311-9721
Practice Address - Country:US
Practice Address - Phone:859-289-2212
Practice Address - Fax:859-289-4744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32773207P00000X
207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64327737Medicaid
KY0729601Medicare ID - Type Unspecified
KY64327737Medicaid