MEDICARE: DR. WILLIAM JOHN RAMSAY III 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	174400000X	Specialist	A73013	WY
2	207W00000X	Ophthalmology Physician	A73013	WY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A73013	OTHER	WY	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972694545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM JOHN RAMSAY III M.D.

Provider Business Mailing Address
First Line	:	PO BOX 4070
Second Line	:
City	:	JACKSON
State	:	WY
Zip	:	83001-4070
Country	:	US
Telephone Number	:	307-733-1051
Fax Number	:	307-733-0686

Provider Business Practice Location Address
First Line	:	555 E. BROADWAY
Second Line	:	SUITE 214
City	:	JACKSON
State	:	WY
Zip	:	83001-4070
Country	:	US
Telephone Number	:	307-733-1051
Fax Number	:	307-733-0686

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	08/04/2020

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