Provider Demographics
NPI:1013165570
Name:RAMSEY, JASON A (CP)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:A
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 ERIN LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2293
Mailing Address - Country:US
Mailing Address - Phone:615-425-0964
Mailing Address - Fax:615-712-7264
Practice Address - Street 1:100 KENNER AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2208
Practice Address - Country:US
Practice Address - Phone:615-712-7264
Practice Address - Fax:615-712-7264
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1455099Medicaid
TN1455099Medicaid
TN5748770002Medicare NSC