Provider Demographics
NPI:1912056300
Name:RAMIREZ, ANTHONY H (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:H
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 200
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:TN
Mailing Address - Zip Code:38060-0200
Mailing Address - Country:US
Mailing Address - Phone:901-299-2926
Mailing Address - Fax:731-926-8155
Practice Address - Street 1:935 WAYNE RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-1904
Practice Address - Country:US
Practice Address - Phone:731-926-8100
Practice Address - Fax:731-926-8155
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK24382207P00000X
TN44332207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1514314Medicaid
OK200101940AMedicaid
TN4378440OtherBCBS
TNP01029331OtherRR
OK249723704Medicare PIN
TN4378440OtherBCBS
OKP00673956Medicare PIN