Individual provider Active NPI

Ryan FC Ramos, MD

  • Surgery Physician
  • Celebration, FL
National Provider Identifier
1154401602
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME115671 Issued in FL
Practice address
2954 Mallory Cir Ste 101
Celebration, FL 34747-1822
Phone
(321) 939-0222
Fax
(407) 288-1996
NPI assigned
Oct 17, 2006
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME115671 FL Primary

Addresses

Primary practice location

2954 Mallory Cir Ste 101
Celebration, FL 34747-1822

Mailing address

2954 Mallory Cir Ste 101
Celebration, FL 34747-1822
Phone (321) 939-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130603000580 FL Practitioner - General Surgery 1557455722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME115671FLMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1154401602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 MALLORY CIR STE 101",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347471822",
            "telephone_number": "321-939-0222",
            "fax_number": "407-288-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 MALLORY CIR STE 101",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347471822",
            "telephone_number": "321-939-0222",
            "fax_number": "407-288-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "RYAN",
        "middle_name": "FC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME115671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.