NPI Code Detail JSON Logo

1639373210 NPI number — MARK ADAM RAMIREZ MD

NPI Number: 1639373210
Health Care Provider/Practitioner: MARK ADAM RAMIREZ MD

Information about “1639373210” NPI (MARK ADAM RAMIREZ MD) exists in 1639373210 in HTML format HTML  |  1639373210 in plain Text format TXT  |  1639373210 in PDF (Portable Document Format) PDF  |  1639373210 in an XML format XML  formats.

NPI Number : 1639373210 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639373210",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAMIREZ",
    "FirstName": "MARK",
    "MiddleName": "ADAM",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 62701",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANGELO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76906-2701",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "325-224-5981",
    "MailingAddressFaxNumber": "325-224-5981",
    "FirstLinePracticeLocationAddress": "3162 APPALOOSA CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN ANGELO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76901-5225",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "325-224-5981",
    "PracticeLocationAddressFaxNumber": "325-224-5981",
    "EnumerationDate": "06/14/2007",
    "LastUpdateDate": "03/07/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207N00000X",
        "TaxonomyName": "Dermatology Physician",
        "LicenseNumber": "M7551",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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