=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366025033
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAMSEY WAY SURGERY CENTER LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2021
-----------------------------------------------------
Last Update Date | 03/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10200 RAMSEY WAY
-----------------------------------------------------
City | DICKSON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37055-1084
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-446-9988
-----------------------------------------------------
Fax | 615-441-9998
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10200 RAMSEY WAY
-----------------------------------------------------
City | DICKSON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37055-1084
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-375-4990
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL DOCTOR
-----------------------------------------------------
Name | AARON PORTER
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 270-303-9398
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA1903X
-----------------------------------------------------
Taxonomy Name | Ambulatory Surgical Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------