Provider Demographics
NPI:1720033194
Name:JAMES W HARKESS & WILLIAM C RAMSEY PTR
Entity Type:Organization
Organization Name:JAMES W HARKESS & WILLIAM C RAMSEY PTR
Other - Org Name:DRS. HARKESS & RAMSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-589-4448
Mailing Address - Street 1:250 E LIBERTY ST
Mailing Address - Street 2:SUITE 1005
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1538
Mailing Address - Country:US
Mailing Address - Phone:502-589-4448
Mailing Address - Fax:502-589-1209
Practice Address - Street 1:250 E LIBERTY ST
Practice Address - Street 2:SUITE 1005
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1538
Practice Address - Country:US
Practice Address - Phone:502-589-4448
Practice Address - Fax:502-589-1209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207X00000X
KY17060332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64170608Medicaid
IN200900330AMedicaid
KY50013575OtherPASSPORT
KY90013293OtherMEDICAID DME
KY406201014OtherRAILROAD MEDICARE
4652OtherANTHEM PIN
IN200900330AMedicaid
KY50013575OtherPASSPORT