Provider Demographics
NPI:1457475568
Name:RAMOS, M.D., P.C.
Entity Type:Organization
Organization Name:RAMOS, M.D., P.C.
Other - Org Name:DOUGLAS J. RAMOS, M.D., P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-390-6060
Mailing Address - Street 1:1301 S 75TH ST STE 230
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-1602
Mailing Address - Country:US
Mailing Address - Phone:402-390-6060
Mailing Address - Fax:402-390-6694
Practice Address - Street 1:1301 SOUTE 75TH STREET
Practice Address - Street 2:SUITE 230
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124
Practice Address - Country:US
Practice Address - Phone:402-390-6060
Practice Address - Fax:402-390-6694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE16005174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE099435Medicare PIN
NEB97977Medicare UPIN
IAI11094Medicare PIN