Individual provider Active NPI

Fred Joseph Ramsey, CRNA

  • Certified Registered Nurse Anesthetist
  • West Linn, OR
National Provider Identifier
1124046792
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
084056706CRNA Issued in OR
Practice address
1830 Blankenship Rd
Suite 200
West Linn, OR 97068-4181
Phone
(503) 655-3851
Fax
(503) 655-3318
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 084056706RN OR
Certified Registered Nurse Anesthetist 367500000X 084056706CRNA OR Primary

Addresses

Primary practice location

1830 Blankenship Rd
Suite 200
West Linn, OR 97068-4181

Mailing address

1830 Blankenship Rd
Suite 200
West Linn, OR 97068-4181
Phone (503) 655-3851

Other identifiers 1

IdentifierTypeStateIssuer
067145MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084056706RNORMDRegistered Nurse
084056706CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
On-Site Anesthesia Services Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2004 Accepting new patients

Locations

2480 Liberty St NE
Ste 120
Salem, OR 97301
Phone (503) 363-4355

6464 SW Borland Rd
Ste A3
Tualatin, OR 97062
Phone (503) 292-8614

1830 Blankenship Rd
Ste 275
West Linn, OR 97068
Phone (503) 655-3851

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1124046792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BLANKENSHIP RD",
            "address_2": "SUITE 200",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684181",
            "telephone_number": "503-655-3851",
            "fax_number": "503-655-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BLANKENSHIP RD",
            "address_2": "SUITE 200",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684181",
            "telephone_number": "503-655-3851",
            "fax_number": "503-655-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSEY",
        "first_name": "FRED",
        "middle_name": "JOSEPH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "084056706RN",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "084056706CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067145",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.