Provider Demographics
NPI:1477516748
Name:RAMSTAD, DAVID SCOTT (MD, MPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:SCOTT
Last Name:RAMSTAD
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 CHAMPIONS WAY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3762
Mailing Address - Country:US
Mailing Address - Phone:757-615-6161
Mailing Address - Fax:757-340-5689
Practice Address - Street 1:1035 CHAMPIONS WAY
Practice Address - Street 2:SUITE 600
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-3762
Practice Address - Country:US
Practice Address - Phone:757-615-6161
Practice Address - Fax:757-340-5689
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101034083207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6059490Medicaid
VA110038626OtherRAILROAD MEDICARE
NC6906511Medicaid
VA110003954Medicare PIN
NC6906511Medicaid