Provider Demographics
NPI:1902025364
Name:JAMES O. RANEY, MD PS
Entity Type:Organization
Organization Name:JAMES O. RANEY, MD PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:O
Authorized Official - Last Name:RANEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-780-8312
Mailing Address - Street 1:3335 PLEASANT BEACH DR NE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2248
Mailing Address - Country:US
Mailing Address - Phone:206-780-8312
Mailing Address - Fax:206-903-6714
Practice Address - Street 1:509 OLIVE WAY
Practice Address - Street 2:#1331
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1720
Practice Address - Country:US
Practice Address - Phone:206-903-6714
Practice Address - Fax:206-903-6714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000089102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAO5425Medicare UPIN