1497821102 NPI number — MR. ALLEY K RAMSEY MD

Table of content: MR. ALLEY K RAMSEY MD (NPI 1497821102)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497821102 NPI number — MR. ALLEY K RAMSEY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMSEY
Provider First Name:
ALLEY
Provider Middle Name:
K
Provider Name Prefix Text:
MR.
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:
1497821102
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14904 JEFFERSON DAVIS HWY
Provider Second Line Business Mailing Address:
STE 407
Provider Business Mailing Address City Name:
WOODBRIDGE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22191-3908
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-494-0064
Provider Business Mailing Address Fax Number:
703-494-0384

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14904 JEFFERSON DAVIS HWY
Provider Second Line Business Practice Location Address:
SUITE 407
Provider Business Practice Location Address City Name:
WOODBRIDGE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-494-0064
Provider Business Practice Location Address Fax Number:
703-494-0384
Provider Enumeration Date:
11/27/2006

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: 207V00000X , with the licence number:  0101027410 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 082274000 . This is a "QUAL CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 21238 . This is a "MAMSI MDIPA OPTIMUM CHOIC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0700224 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 21238 . This is a "ALLIANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281048 . This is a "AMERIGROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 909682 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 060394 . This is a "HEALTHKEEPERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 478392 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 21238 . This is a "ONE NET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 66190001 . This is a "CAREFIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 006264778 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 060394 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20201506S . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".




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