MEDICARE: DR. JAMES ALBERT RAMIREZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZC0006X	Clinical Pathology Physician	4301074152	MI
2	207ZD0900X	Dermatopathology (Pathology) Physician	4301074152	MI
3	207ZD0900X	Dermatopathology (Pathology) Physician	87015-20	WI
4	207ZD0900X	Dermatopathology (Pathology) Physician	81674	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	7942854	OTHER	MI	AETNA
3	JR074152	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1003867946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ALBERT RAMIREZ M.D.

Provider Business Mailing Address
First Line	:	2720 FAIRVIEW AVE N STE 200
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55113-1306
Country	:	US
Telephone Number	:	651-633-6883
Fax Number	:	651-331-3459

Provider Business Practice Location Address
First Line	:	2720 FAIRVIEW AVE N STE 200
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-1306
Country	:	US
Telephone Number	:	651-633-6883
Fax Number	:	651-331-3459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	03/18/2026

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