1720033194 NPI number — JAMES W HARKESS & WILLIAM C RAMSEY PTR

Table of content: (NPI 1720033194)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720033194 NPI number — JAMES W HARKESS & WILLIAM C RAMSEY PTR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JAMES W HARKESS & WILLIAM C RAMSEY PTR
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DRS. HARKESS & RAMSEY
Provider Other Organization Name Type Code:
3
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:
1720033194
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/30/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
250 E LIBERTY ST
Provider Second Line Business Mailing Address:
SUITE 1005
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40202-1538
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-589-4448
Provider Business Mailing Address Fax Number:
502-589-1209

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
250 E LIBERTY ST
Provider Second Line Business Practice Location Address:
SUITE 1005
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40202-1538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-589-4448
Provider Business Practice Location Address Fax Number:
502-589-1209
Provider Enumeration Date:
05/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RAMSEY
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
502-589-4448

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332B00000X , with the licence number: 17060 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 64170608 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200900330A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 50013575 . This is a "PASSPORT" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 90013293 . This is a "MEDICAID DME" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 406201014 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 4652 . This is a "ANTHEM PIN" identifier . This identifiers is of the category "OTHER".




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