Ivan Ramirez MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

J9290 Issued in TX

Legal business name

IVAN RAMIREZ MD PA

Practice address

9670 Ranch Road 12
Wimberley, TX 78676-5238

Phone

(512) 847-6789

Fax

(512) 847-7968

NPI assigned

Jan 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Juan Ivan Ramirez, M.D.NPI 1205835071

Title

President

Phone

(512) 847-6789

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Ivan Ramirez, M.D.

  • Family Medicine Physician
  • Wimberley, TX
  • NPI 1205835071
  Medicare reassignment Care Compare group NPD Authorized official
• Cassandra Dale Jackson, APRN, FNP-C

  • Family Nurse Practitioner
  • Kyle, TX
  • NPI 1861044364
  Medicare reassignment Care Compare group NPD
• Melodye Ann Gardner, PA-C

  • Physician Assistant
  • Wimberley, TX
  • NPI 1336211572
  Medicare reassignment Care Compare group
• Rolando Hinojosa, M.D.

  • Internal Medicine Physician
  • Mission, TX
  • NPI 1063423416
  Medicare reassignment NPD
• Anthony Clark Gibbs

  • Physician Assistant
  • San Marcos, TX
  • NPI 1710457940
  Medicare reassignment
• Kenneth B Hudspeth, M.D.

  • Family Medicine Physician
  • Wimberley, TX
  • NPI 1285632075
  NPD (past)
• Paula Josephine Worley, FNP-BC

  • Family Nurse Practitioner
  • New Braunfels, TX
  • NPI 1003064445
  NPD (past)

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1053464008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9670 RANCH ROAD 12",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765238",
            "telephone_number": "512-847-6789",
            "fax_number": "512-847-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 RANCH ROAD 12",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765238",
            "telephone_number": "512-847-6789",
            "fax_number": "512-847-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN RAMIREZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-847-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J9290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner M Hoffmann, DPT
• Kimberly Holeck, OTR
• Holistic Counseling LLC
• Kenneth B Hudspeth, M.D.
• Madison Luce Huser, O.D.
• Mary Johnson, RN
• Kristie Carol Jordan, LPC
• Phillip Murray Kast, LPC
• Samantha Marie Kaven, COTA
• Jennifer Kenley, LPC-S, NCC

• Primary Care Clinic/Center in Wimberley, TX
• Providers in Wimberley, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.