Ramona V. Anderson, MD
Individual provider Active NPI Pediatrics Physician · Gallup, NM
NPI 1013092899 · NPPES record last updated Sep 26, 2011
Key facts
- NPI
- 1013092899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD2007-0794 (NM)
- Practice address
- 516 East Nizhoni Blvd.
Gallup, NM 87301-1337 - Phone
- (505) 722-1000
- Fax
- (505) 722-1268
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2007-0794 | NM | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD2007-0794 | NM | Yes |
Addresses
Primary practice location
516 East Nizhoni Blvd.
Gallup, NM 87301-1337
Mailing address
P.O. Box 1337
Gallup, NM 87305-1337
Phone (505) 722-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60371838 | Medicaid | NM |
Other providers in Gallup, NM
- Karthik Anandan
- Frances B Andablo
- Arlene Lopez Anderson
- Catharine Anderson
- Latara Anderson
- William Stanton Anderson III
- Aedra D. Andrade
- Christina Ann Andrade
- Elizabeth Andrade
- Mary Melinda Andress
All providers in Gallup, NM · Pediatrics Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.