Provider Demographics
NPI:1407190499
Name:JERREMY M RAMP MD INC
Entity Type:Organization
Organization Name:JERREMY M RAMP MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JERREMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAMP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-338-9000
Mailing Address - Street 1:1427 W 86TH ST
Mailing Address - Street 2:SUITE 152
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2103
Mailing Address - Country:US
Mailing Address - Phone:317-466-0724
Mailing Address - Fax:
Practice Address - Street 1:8335 NAAB RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1919
Practice Address - Country:US
Practice Address - Phone:317-338-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01201219A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ1150Medicare PIN