Fernando Luis Gonzalez-Ramos, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12651 Issued in PR

Practice address

77 Hospital Drive
Suite 101
Logan, WV 25601-3451

Phone

(304) 831-0450

Fax

(304) 831-0452

NPI assigned

Jun 27, 2006

Last updated

Nov 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Logan Internal Medicine Group

  • Internal Medicine Physician
  • Logan, WV
  • NPI 1730117896
  Authorized official Same address or phone
• St Francis West Health Care Inc

  • Clinical Medical Laboratory
  • Charleston, WV
  • NPI 1952306706
  NPD (past)
• St Francis West Health Care, Inc

  • Radiologic Technologist
  • Charleston, WV
  • NPI 1720083975
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1053348771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1933",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700591933",
            "telephone_number": "787-242-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL DRIVE",
            "address_2": "SUITE 101",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013451",
            "telephone_number": "304-831-0450",
            "fax_number": "304-831-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-RAMOS",
        "first_name": "FERNANDO",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "21171",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA FREEDOM",
            "identifier": "438170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF2728",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "611399500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001860338",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011047",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH",
            "identifier": "438170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "7102000WV2560",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ghazala Quddus, M.D., Inc.
• Diane Faye Gibson, BA, LSW
• Maranda Gilkerson
• Glenmark Limited Liability Company I (Logan Center)
• Angela Dawn Glick, LCP
• Genevieve Gordon
• Sabrina Lynne Grace, MS CCC-S
• Stephanie Renee Griffith
• Karan D Grimes, FNP
• Reagan Grimmett

• Internal Medicine Physician in Logan, WV
• Providers in Logan, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.