MEDICARE: PETER A. RAMIREZ, M.D. & ASSOCIATES LLC

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1336104116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER A. RAMIREZ, M.D. & ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	3121 EVELYN DR
Second Line	:	SUITE 110
City	:	BEAVERCREEK
State	:	OH
Zip	:	45434-4309
Country	:	US
Telephone Number	:	937-320-0755
Fax Number	:	937-320-1589

Provider Business Practice Location Address
First Line	:	3121 EVELYN DR
Second Line	:	SUITE 110
City	:	BEAVERCREEK
State	:	OH
Zip	:	45434-4309
Country	:	US
Telephone Number	:	937-320-0755
Fax Number	:	937-320-1589

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PETER RAMIREZ
Credential	:	M.D.
Telephone Number	:	937-320-0755

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	07/14/2007

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