MEDICARE: STEPHEN JON RAMEY MD A MEDICAL CORPORATION

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	208200000X	Plastic Surgery Physician	014199	LA

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	:	1679766315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHEN JON RAMEY MD A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	3106 CENTENARY BLVD
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71104-4542
Country	:	US
Telephone Number	:	318-573-9896
Fax Number	:

Provider Business Practice Location Address
First Line	:	7013 SAND BEACH BLVD
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-4929
Country	:	US
Telephone Number	:	318-681-5050
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEPHEN JON RAMEY
Credential	:	M.D.
Telephone Number	:	318-573-9896

Provider Enumeration Date	:	08/27/2007
Last Update Date	:	04/04/2008

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