Individual provider Active NPI

Matthew Hawthorne Ramage, M.D.

  • Family Medicine Physician
  • Texarkana, TX
National Provider Identifier
1558568253
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S7764 Issued in TX
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

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1G0344OtherTXMEDICARE PIN
200966110AMedicaidOK
1G0344OtherTXMEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200821002909 TX Practitioner - Family Practice 0547686404 Reassigns benefits to 1 organization

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
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S7764TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
354TH Medgrp-Eielson Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 12, 2020 Accepting new patients
354TH Medgrp-Eielson Current Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Oct 12, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.