Active NPI
Ramzi Richard Shehadi, MD
- Plastic and Reconstructive Surgery Physician
- Middleton, WI
National Provider Identifier
1174715304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 35519
- Practice address
- 2275 Deming Way Ste 240
Middleton, WI 53562-5527 - Phone
- (608) 821-4020
- Fax
- (608) 821-4040
- NPI assigned
- Aug 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 35519 | WI | Primary |
Addresses
Primary practice location
2275 Deming Way Ste 240
Middleton, WI 53562-5527
Mailing address
2275 Deming Way Ste 240
Middleton, WI 53562-5527
Phone (608) 821-4020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34937700 | Medicaid | WI |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35519 | WI | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1174715304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 DEMING WAY STE 240",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625527",
"telephone_number": "608-821-4020",
"fax_number": "608-821-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 DEMING WAY STE 240",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625527",
"telephone_number": "608-821-4020",
"fax_number": "608-821-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEHADI",
"first_name": "RAMZI",
"middle_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-12",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WI",
"license": "35519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34937700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.