1265540561 NPI number — DR. TIMOTHY THOMAS RAMSEY JR. MD

Table of content: DR. TIMOTHY THOMAS RAMSEY JR. MD (NPI 1265540561)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265540561 NPI number — DR. TIMOTHY THOMAS RAMSEY JR. MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMSEY
Provider First Name:
TIMOTHY
Provider Middle Name:
THOMAS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265540561
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/23/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5655 HUDSON DR STE 210
Provider Second Line Business Mailing Address:
ARIS RADIOLOGY
Provider Business Mailing Address City Name:
HUDSON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44236-4455
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-655-1869
Provider Business Mailing Address Fax Number:
330-655-3828

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2905 PREMIERE PKWY
Provider Second Line Business Practice Location Address:
STE 310
Provider Business Practice Location Address City Name:
DULUTH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30097-5247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-748-5850
Provider Business Practice Location Address Fax Number:
678-804-1841
Provider Enumeration Date:
08/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  28243 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085B0100X , with the licence number: PENDING , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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