Provider Demographics
NPI:1437172681
Name:RAMSEY, JOHN EDWARD (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:EDWARD
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 W NORTH ST
Mailing Address - Street 2:PO BOX 755
Mailing Address - City:KENDALLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46755-0755
Mailing Address - Country:US
Mailing Address - Phone:260-347-4020
Mailing Address - Fax:260-347-4405
Practice Address - Street 1:920 W NORTH ST
Practice Address - Street 2:
Practice Address - City:KENDALLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46755-0755
Practice Address - Country:US
Practice Address - Phone:260-347-4020
Practice Address - Fax:260-347-4405
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01025653A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
C25399Medicare UPIN
IN188430Medicare ID - Type Unspecified