Edid Ramos, MD, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

J9291 Issued in TX

Legal business name

EDID RAMOS, MD, PA

Practice address

315 E Pleasant Run Rd
Desoto, TX 75115-3933

Phone

(972) 228-4888

Fax

(972) 228-3336

NPI assigned

Nov 19, 2010

Last updated

Nov 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edid G. Ramos Rivas, M.D.NPI 1255480141

Title

Owner

Phone

(972) 228-4888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edid Ramos-Rivas, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Desoto, TX
  • NPI 1255480141
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1457653669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E PLEASANT RUN RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153933",
            "telephone_number": "972-228-4888",
            "fax_number": "972-228-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E PLEASANT RUN RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153933",
            "telephone_number": "972-228-4888",
            "fax_number": "972-228-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDID RAMOS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "RAMOS RIVAS",
        "authorized_official_first_name": "EDID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-228-4888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J9291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Desoto, TX
• Providers in Desoto, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.