Healthcare Provider Details

I. General information

NPI: 1366444358
Provider Name (Legal Business Name): RICHARD D RAMOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 NORTHLINE AVE STE 200
GREENSBORO NC
27408-7616
US

IV. Provider business mailing address

PO BOX 5105
BELFAST ME
04915-5100
US

V. Phone/Fax

Practice location:
  • Phone: 336-545-5000
  • Fax: 336-545-5020
Mailing address:
  • Phone: 336-545-5000
  • Fax: 336-545-5020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number9801033
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number9801033
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number9801033
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: