1477741049 NPI number — PETER P RAMIREZ MD PA

Table of content: (NPI 1477741049)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477741049 NPI number — PETER P RAMIREZ MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PETER P RAMIREZ MD PA
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:
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:
1477741049
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/09/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7845 OAKWOOD RD
Provider Second Line Business Mailing Address:
STE 200
Provider Business Mailing Address City Name:
GLEN BURNIE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21061-4280
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-761-6660
Provider Business Mailing Address Fax Number:
410-768-2469

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7845 OAKWOOD RD
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
GLEN BURNIE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21061-4280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-761-6660
Provider Business Practice Location Address Fax Number:
410-768-2469
Provider Enumeration Date:
10/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RAMIREZ
Authorized Official First Name:
PETER
Authorized Official Middle Name:
PAUL
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-761-6660

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  D47137 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1306848 . This is a "UNAT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18249 . This is a "TRAV" identifier . This identifiers is of the category "OTHER".
  • Identifier: 838805 . This is a "MAMS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4676763 . This is a "AETNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 800021200 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: KX44PE . This is a "BSMD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10111730 . This is a "CIGN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 16707011 . This is a "UNIT" identifier . This identifiers is of the category "OTHER".
  • Identifier: W715 . This is a "BSDC" identifier . This identifiers is of the category "OTHER".




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