MEDICARE: DR. SALVATORE M. RAMONDELLI 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	2086S0129X	Vascular Surgery Physician	MD021665E	PA
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	MD021665E	PA
3	208600000X	Surgery Physician	MD021665E	PA

General Provider Information

NPI Number	:	1225093107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALVATORE M. RAMONDELLI M.D.

Provider Business Mailing Address
First Line	:	155 WELLNESS WAY
Second Line	:
City	:	STATE COLLEGE
State	:	PA
Zip	:	16803-6702
Country	:	US
Telephone Number	:	814-231-7000
Fax Number	:	814-231-7098

Provider Business Practice Location Address
First Line	:	164 GREENVIEW DR STE 345
Second Line	:
City	:	STATE COLLEGE
State	:	PA
Zip	:	16803-2106
Country	:	US
Telephone Number	:	814-234-7599
Fax Number	:	814-237-2126

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	06/19/2025

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