Individual provider Active NPI

Daniel Charles Ramirez, PA

  • Physician Assistant
  • White River Junction, VT
National Provider Identifier
1477056869
Registry record updated Aug 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Aug 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1641NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Hospital Corporation PastSince Aug 8, 2021 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients
Alice Peck Day Memorial Hospital Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.