Active NPI
Mari-Lou Docto Ramos, MD
- General Practice Physician
- South Saint Paul, MN
National Provider Identifier
1285649947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24544
- Practice address
- 1345 Thompson Ave
South Saint Paul, MN 55075-1410 - Phone
- (651) 451-2711
- Fax
- (651) 453-2017
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 24544 | MN | Primary |
Addresses
Primary practice location
1345 Thompson Ave
South Saint Paul, MN 55075-1410
Mailing address
1345 Thompson Ave
South Saint Paul, MN 55075-1410
Phone (651) 451-2711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 677772400 | Medicaid | MN |
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 |
|---|---|---|---|
| 24544 | MN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1285649947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 THOMPSON AVE",
"city": "SOUTH SAINT PAUL",
"state": "MN",
"postal_code": "550751410",
"telephone_number": "651-451-2711",
"fax_number": "651-453-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 THOMPSON AVE",
"city": "SOUTH SAINT PAUL",
"state": "MN",
"postal_code": "550751410",
"telephone_number": "651-451-2711",
"fax_number": "651-453-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "MARI-LOU",
"middle_name": "DOCTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MN",
"license": "24544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "677772400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.