NPIMap

Individual provider Active NPI

Ronald A Ronquist, M.D.

  • Orthopaedic Surgery Physician
  • Hancock, MI
National Provider Identifier
1255340063
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301051494 Issued in MI
Practice address
500 Campus Dr
Suite 1
Hancock, MI 49930-1452
Phone
(906) 483-1040
Fax
(906) 483-1270
NPI assigned
Aug 8, 2006
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301051494 MI Primary

Addresses

Primary practice location

500 Campus Dr
Suite 1
Hancock, MI 49930-1452

Mailing address

894 Campus Dr
Suite B
Hancock, MI 49930-1644
Phone (906) 483-1445

Other identifiers 1

IdentifierTypeStateIssuer
3257240MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160929002510 MI Practitioner - Orthopedic Surgery 9931399037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portage Physician Practices IncGroup PAC ID 6103053509, 56 clinicians

Practice addresses (Care Compare)

500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Portage Physician Practices Inc CurrentSince Jan 8, 2017 Accepting new patients
Portage Physician Practices Inc Orthopaedic Surgery CurrentSince Jan 8, 2017 Accepting new patients
Portage Hospital LLC CurrentSince Oct 3, 2016 Accepting new patients
Portage Hospital LLC CurrentSince Oct 3, 2016 Accepting new patients
Portage Health Inc Past Accepting new patients
Ronald a Ronquist MD PC Past Accepting new patients
Ronald a Ronquist MD PC Past Accepting new patients
Ronald a Ronquist MD PC Past Accepting new patients

Locations

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 1
Hancock, MI 49930
Phone (906) 483-1040

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

894 Campus Dr
Ste B
Hancock, MI 49930
Phone (906) 483-1128

Interoperability endpoints

  • Direct secure messaging: ronald.ronquist.1@8233.direct.athenahealth.com
  • Direct secure messaging: rronquist@bso.directglo.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1255340063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 CAMPUS DR",
            "address_2": "SUITE B",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301644",
            "telephone_number": "906-483-1445",
            "fax_number": "906-483-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAMPUS DR",
            "address_2": "SUITE 1",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301452",
            "telephone_number": "906-483-1040",
            "fax_number": "906-483-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONQUIST",
        "first_name": "RONALD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301051494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3257240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hancock, MI

Sources for this page

Verify at the official NPI Registry.