Provider Demographics
NPI:1578525960
Name:RAMOS, GIOVANNI GRETO (MD)
Entity Type:Individual
Prefix:
First Name:GIOVANNI
Middle Name:GRETO
Last Name:RAMOS
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 1:312 BOULEVARD AVE
Mailing Address - Street 2:
Mailing Address - City:DICKSON CITY
Mailing Address - State:PA
Mailing Address - Zip Code:18519-1731
Mailing Address - Country:US
Mailing Address - Phone:570-489-4567
Mailing Address - Fax:570-489-4534
Practice Address - Street 1:312 BOULEVARD AVE
Practice Address - Street 2:
Practice Address - City:DICKSON CITY
Practice Address - State:PA
Practice Address - Zip Code:18519-1731
Practice Address - Country:US
Practice Address - Phone:570-489-4567
Practice Address - Fax:570-489-4534
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419448207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
002718OtherHMO
1437433OtherFIRST PRIORITY LIFE
PA0019212380003OtherMEDICAL ASSISTANCE
2121722000OtherBC/BS
77750 E465OtherGEISINGER GOLD
77750 E465OtherGEISINGER HEALTH PLAN
1437433OtherBLUE SHIELD, BC/BS
7092409OtherAETNA
P00239580OtherRAILROAD MEDICARE
2121722000OtherBC/BS
H67166Medicare UPIN