Healthcare Provider Details

I. General information

NPI: 1417025479
Provider Name (Legal Business Name): RAMON NAVARRO THOMAS M.D., MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEDICAL CENTER DR STE 1A
HAZARD KY
41701-9477
US

IV. Provider business mailing address

200 MEDICAL CENTER DR STE 1A
HAZARD KY
41701-9477
US

V. Phone/Fax

Practice location:
  • Phone: 606-439-5220
  • Fax: 606-439-5221
Mailing address:
  • Phone: 606-439-5220
  • Fax: 606-439-5221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number45732
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2004015144
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: