1205196417 NPI number — RAMESIS BACOLOD MD

Table of content: RAMESIS BACOLOD MD (NPI 1205196417)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205196417 NPI number — RAMESIS BACOLOD MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BACOLOD
Provider First Name:
RAMESIS
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
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:
1205196417
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/20/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2620 E BARNETT RD
Provider Second Line Business Mailing Address:
SUITE H
Provider Business Mailing Address City Name:
MEDFORD
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97504-8383
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-789-4281
Provider Business Mailing Address Fax Number:
541-789-2558

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 SW RAMSEY AVE
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
GRANTS PASS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97527-5786
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-507-2080
Provider Business Practice Location Address Fax Number:
541-507-2081
Provider Enumeration Date:
05/22/2012

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: 207Q00000X , with the licence number:  RL12297 , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: MD171022 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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