Provider Demographics
NPI:1841287778
Name:DEEB, RAMON J (CRNA)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:J
Last Name:DEEB
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:1245 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE #301
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6258
Mailing Address - Country:US
Mailing Address - Phone:610-402-9099
Mailing Address - Fax:610-402-9029
Practice Address - Street 1:1200 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-402-9099
Practice Address - Fax:610-402-9029
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2013-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN273568L163W00000X
PA042601367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1027802170001Medicaid
PA75823OtherGEISINGER
PA2036004000OtherINDEP. BLUE CROSS
PA03222101OtherCAPITAL ADVANTAGE
PA11716911OtherCAQH
PA1343347OtherHIGHMARK
PA1343347OtherFIRST PRIORITY
PA9044456OtherAETNA
PA1343347OtherKHP CENTRAL
PA1544466OtherGATEWAY
PA9044456OtherAETNA
PA2036004000OtherINDEP. BLUE CROSS
PAS58151Medicare UPIN