Provider Demographics
NPI:1518132539
Name:BOBBI J. RAMP, MD
Entity Type:Organization
Organization Name:BOBBI J. RAMP, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBI
Authorized Official - Middle Name:R
Authorized Official - Last Name:OSBORN
Authorized Official - Suffix:
Authorized Official - Credentials:CMA-AC
Authorized Official - Phone:810-733-5050
Mailing Address - Street 1:1121 VILLA LINDE CT
Mailing Address - Street 2:STE 39
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3410
Mailing Address - Country:US
Mailing Address - Phone:810-733-5050
Mailing Address - Fax:810-733-1534
Practice Address - Street 1:1121 VILLA LINDE CT
Practice Address - Street 2:STE 39
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3410
Practice Address - Country:US
Practice Address - Phone:810-733-5050
Practice Address - Fax:810-733-1534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301051291208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI020021442OtherRAILROAD MEDICARE
MI204011OtherMCLAREN HEALTH ADVANTAGE/HEALTH PLAN
MI0202545912OtherFEP BLUE CROSS BLUE SHIELD
MI19571OtherCOMMUNITY CHOICE
MI102849120Medicaid
MIC5464OtherMCARE
MI020035076OtherTRAVELERS
MI102849120Medicaid
MIC5464OtherMCARE