Active NPI
Matthew Hawthorne Ramage, M.D.
- Family Medicine Physician
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S7764
- Practice address
- 3510 Richmond Rd Ste 100
Texarkana, TX 75503-0712 - Phone
- (903) 614-5220
- NPI assigned
- Jun 27, 2007
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | S7764 | TX | Primary |
Addresses
Primary practice location
3510 Richmond Rd Ste 100
Texarkana, TX 75503-0712
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 606-6400
Other practice location 1
307 Boatner Rd
Suite 114
Eglin AFB, FL 32542-1391
Phone (850) 883-8288
Other practice location 2
4824 McKnight Rd
Texarkana, TX 75503-0935
Phone (903) 614-5800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1G0344 | Other | TX | MEDICARE PIN |
| 200966110A | Medicaid | OK | |
| 1G0344 | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Saint Michael Dr
Texarkana, TX 75503-2374
Phone (903) 614-4440
3502 Richmond Rd
Texarkana, TX 75503-0705
Phone (903) 614-5270
4824 McKnight Rd
Texarkana, TX 75503-0935
Phone (903) 614-5800
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Chambers Home Health Agency
- Enhabit Home Health
- Guardian Healthcare
- Chambers Hospice
- Christus St Michael Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S7764 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 354TH Medgrp-Eielson | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| 354TH Medgrp-Eielson | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
Locations
3510 Richmond Rd
Ste 100
Texarkana, TX 75503
Phone (903) 614-5220
4824 McKnight Rd
Texarkana, TX 75503
Phone (903) 614-5800
3510 Richmond Rd
Texarkana, TX 75503
Phone (903) 614-5220
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- mramage234870@christushealth.direct-ci.net
Organizations & group practices 4
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba Dod Eielson Pharmacy
- Military/U.S. Coast Guard Pharmacy
- Eielson Afb, AK
- NPI 1902218415
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Eielson Afb, AK
- NPI 1902867229
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chambers Hospice
- Community Based Hospice Care Agency
- Mount Pleasant, TX
- NPI 1740739234
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
dba Chambers Home Health Agency
- Home Health Agency
- Texarkana, TX
- NPI 1366682080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1558568253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-606-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 RICHMOND RD STE 100",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030712",
"telephone_number": "903-614-5220"
}
],
"practiceLocations": [
{
"address_1": "307 Boatner Rd",
"address_2": "Suite 114",
"address_purpose": "LOCATION",
"city": "Eglin AFB",
"state": "FL",
"postal_code": "325421391",
"country_code": "US",
"telephone_number": "850-883-8288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4824 McKnight Rd",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755030935",
"country_code": "US",
"telephone_number": "903-614-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMAGE",
"first_name": "MATTHEW",
"middle_name": "HAWTHORNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S7764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "1G0344",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200966110A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1G0344",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.