MEDICARE: DON E RAMSEY 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	036050329	IL

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

General Provider Information

NPI Number	:	1366438897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON E RAMSEY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 19638
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62794-9638
Country	:	US
Telephone Number	:	217-545-5555
Fax Number	:	217-545-2563

Provider Business Practice Location Address
First Line	:	747 N RUTLEDGE ST
Second Line	:	5TH FLOOR
City	:	SPRINGFIELD
State	:	IL
Zip	:	62702-6700
Country	:	US
Telephone Number	:	217-545-5555
Fax Number	:	217-545-2563

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	08/28/2012

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Directions to “ DON E RAMSEY M.D.” Practice Location

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