Active NPI
Daniel Charles Ramirez, PA
- Physician Assistant
- White River Junction, VT
National Provider Identifier
1477056869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 163 Veterans Drive
White River Junction, VT 05009-6200 - Phone
- (802) 295-9363
- NPI assigned
- Mar 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1641 | NH | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
163 Veterans Drive
White River Junction, VT 05009-6200
Mailing address
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-7254
Other practice location 1
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-7254
Other practice location 2
1311 Route 302 Ste 4
Berlin, VT 05602-6200
Phone (802) 225-3970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1641 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windsor Hospital Corporation | Past | Accepting new patients | |
| Clearchoicemd Primary Care PLLC | Past | Accepting new patients | |
| Alice Peck Day Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Saint Albans, VT
- NPI 1326582529
-
- Internal Medicine Physician
- Windsor, VT
- NPI 1841287984
-
- Critical Access Hospital
- Lebanon, NH
- NPI 1003803495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627776000000",
"number": "1477056869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001",
"telephone_number": "603-650-7254",
"fax_number": "802-371-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 VETERANS DRIVE",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050096200",
"telephone_number": "802-295-9363"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037560001",
"country_code": "US",
"telephone_number": "603-650-7254",
"fax_number": "802-371-4435",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1311 Route 302 Ste 4",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "VT",
"postal_code": "056026200",
"country_code": "US",
"telephone_number": "802-225-3970",
"fax_number": "802-371-4435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMIREZ",
"first_name": "DANIEL",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-13",
"last_updated": "2021-08-01",
"certification_date": "2021-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "1641",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.