Provider Demographics
NPI:1760489363
Name:RIPOLL, IGNACIO (MD)
Entity type:Individual
Prefix:DR
First Name:IGNACIO
Middle Name:
Last Name:RIPOLL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1776
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23327-1776
Mailing Address - Country:US
Mailing Address - Phone:757-681-2240
Mailing Address - Fax:757-410-8963
Practice Address - Street 1:1309 KEMPSVILLE RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-2205
Practice Address - Country:US
Practice Address - Phone:757-681-2240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101026535174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
541910047OtherAETNA
NC790518QMedicaid
P12004433OtherMULTIPLAN
290358OtherPHCS
VA325173OtherANTHEM BC/BS
PA603296OtherBC/BS OF PENNSYLVANIA
0004004821OtherAETNA US HEALTH
15246OtherSENTARA
CAXPY081400OtherEDS MEDI-CAL
VA005818800Medicaid
VA541910047OtherVA HEALTH NETWORK
TX0770109Medicaid
110179234OtherRAILROAD MEDICARE
361931OtherMAMSI/MDIPA/OPITMUM CHOIC
48-00018OtherUNITED HEALTHCARE
541910047OtherCIGNA
FL911940000OtherMEDICAID OF FLORIDA
15246OtherSENTARA
VA325173OtherANTHEM BC/BS