Individual provider Active NPI

Ramona Maria Sarsama Nixon, D.O.

  • Dermatology Physician
  • Sunbury, OH
National Provider Identifier
1558524033
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34.009063 Issued in OH
Practice address
44 Kintner Pkwy
Suite B
Sunbury, OH 43074-9368
Phone
(740) 965-0855
Fax
(740) 965-0836
NPI assigned
Jul 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34.009063 OH Primary

Addresses

Primary practice location

44 Kintner Pkwy
Suite B
Sunbury, OH 43074-9368

Mailing address

44 Kintner Pkwy
Suite B
Sunbury, OH 43074-9368
Phone (740) 965-0855

Other identifiers 1

IdentifierTypeStateIssuer
2994630MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090921000057 OH Practitioner - Dermatology 9739235524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio University, College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Premier Dermatology, LLCGroup PAC ID 3577788678, 2 clinicians

Practice addresses (Care Compare)

44 Kintner Pkwy
Suite B
Sunbury, OH 43074-9368
Phone (740) 965-0855

44 S Kintner Pkwy
Suite B
Sunbury, OH 43074-9368

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision74
Removal of skin lesions1062
Skin biopsy221

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Premier Dermatology, LLC Dermatology CurrentSince Aug 29, 2011 Accepting new patients

Locations

44 Kintner Pkwy
Ste B
Sunbury, OH 43074
Phone (740) 965-0855

Organizations & group practices 1

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": "1215302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1558524033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 KINTNER PKWY",
            "address_2": "SUITE B",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749368",
            "telephone_number": "740-965-0855",
            "fax_number": "740-965-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 KINTNER PKWY",
            "address_2": "SUITE B",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749368",
            "telephone_number": "740-965-0855",
            "fax_number": "740-965-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARSAMA NIXON",
        "first_name": "RAMONA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-06",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.009063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2994630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, OH

Sources for this page

Verify at the official NPI Registry.