Provider Demographics
NPI:1972500965
Name:RAMEY, JOHN D (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:D
Last Name:RAMEY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:MR
Other - First Name:J
Other - Middle Name:DOUG
Other - Last Name:RAMEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-715-5000
Mailing Address - Fax:
Practice Address - Street 1:13601 PRESTON RD
Practice Address - Street 2:SUITE 1000W
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4911
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP114331367500000X
TX555464367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8998UBOtherBCBS
HI201914073OtherPRIVATE INSURERS
HI00A022796OtherHMSA
TX171812403Medicaid
TXP00983547OtherRR MEDICARE
HI53709502Medicaid
TX8J1615Medicare PIN
HI100179Medicare PIN
HI00A022796OtherHMSA
HI201914073OtherPRIVATE INSURERS