Individual provider Active NPI

Ramon Proctan Sy, MD

  • Cardiovascular Disease Physician
  • Manning, SC
National Provider Identifier
1457319535
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20345 Issued in SC
Practice address
15 E Hospital St
Manning, SC 29102-3152
Phone
(803) 435-2529
Fax
(803) 435-4196
NPI assigned
May 1, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20345 SC Primary

Addresses

Primary practice location

15 E Hospital St
Manning, SC 29102-3152

Mailing address

15 E Hospital St
Manning, SC 29102-3152
Phone (803) 435-2529

Other identifiers 1

IdentifierTypeStateIssuer
203452MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20080130000558 SC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0547342479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 E Boyce St
Manning, SC 29102-3441
Phone (803) 433-4337

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20345SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarendon Cardiology and Internal Medicine LLC Cardiovascular Disease CurrentSince Jan 1, 2008 Accepting new patients
Lake Marion Primary Care Cardiovascular Disease Past Accepting new patients

Locations

210 E Boyce St
Manning, SC 29102
Phone (803) 433-4337

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457319535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E HOSPITAL ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023152",
            "telephone_number": "803-435-2529",
            "fax_number": "803-435-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E HOSPITAL ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023152",
            "telephone_number": "803-435-2529",
            "fax_number": "803-435-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY",
        "first_name": "RAMON",
        "middle_name": "PROCTAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "20345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203452",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manning, SC

Sources for this page

Verify at the official NPI Registry.