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1982963740 NPI number — AGUSTIN ALBERTO RAMIREZ M.D.

NPI Number: 1982963740
Health Care Provider/Practitioner: AGUSTIN ALBERTO RAMIREZ M.D.

Information about “1982963740” NPI (AGUSTIN ALBERTO RAMIREZ M.D.) exists in 1982963740 in HTML format HTML  |  1982963740 in plain Text format TXT  |  1982963740 in PDF (Portable Document Format) PDF  |  1982963740 in an XML format XML  formats.

NPI Number : 1982963740 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982963740",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAMIREZ",
    "FirstName": "AGUSTIN",
    "MiddleName": "ALBERTO",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2916 PEACH BLOSSOM DR",
    "SecondLineMailingAddress": "STE 101",
    "MailingAddressCityName": "JEFFERSONVILLE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "47130-8380",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-432-9987",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2916 PEACH BLOSSOM DR STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JEFFERSONVILLE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47130-8380",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "812-590-1600",
    "PracticeLocationAddressFaxNumber": "812-590-6561",
    "EnumerationDate": "05/14/2012",
    "LastUpdateDate": "10/17/2018",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "48319",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "01076087A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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