Provider Demographics
NPI:1003924754
Name:FEIRTAG & RAMOS PA
Entity Type:Organization
Organization Name:FEIRTAG & RAMOS PA
Other - Org Name:YORK BELVEDERE MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-832-7350
Mailing Address - Street 1:1205 YORK RD
Mailing Address - Street 2:SUITE 36
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6210
Mailing Address - Country:US
Mailing Address - Phone:410-832-7350
Mailing Address - Fax:410-832-7351
Practice Address - Street 1:1205 YORK RD
Practice Address - Street 2:SUITE 36
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6210
Practice Address - Country:US
Practice Address - Phone:410-832-7350
Practice Address - Fax:410-832-7351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD552802000Medicaid
874LMedicare ID - Type Unspecified