Provider Demographics
NPI:1851427892
Name:CARAMPATAN, ERNESTO L (MD)
Entity Type:Individual
Prefix:
First Name:ERNESTO
Middle Name:L
Last Name:CARAMPATAN
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 1:100 WEST HIGHWAY 60
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:MO
Mailing Address - Zip Code:65548
Mailing Address - Country:US
Mailing Address - Phone:417-934-7094
Mailing Address - Fax:417-934-7092
Practice Address - Street 1:100 WEST HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:MO
Practice Address - Zip Code:65548
Practice Address - Country:US
Practice Address - Phone:417-934-7094
Practice Address - Fax:417-934-7092
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR3F37207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services