Organization Active NPI

Keith M Ramsey Medical Corp

  • Obstetrics & Gynecology Physician
  • Merrillville, IN
National Provider Identifier
1609866722
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01036485 Issued in IN
Legal business name
KEITH M RAMSEY MEDICAL CORP
Practice address
7863 Broadway Ste 244
Merrillville, IN 46410-5553
Phone
(773) 991-3602
Fax
(219) 962-5053
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Mr. Orville C Rose
Title
Executive Director
Phone
(904) 503-1132

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 01036485 IN Primary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 036068254 IL

Addresses

Primary practice location

7863 Broadway Ste 244
Merrillville, IN 46410-5553

Mailing address

1512 Burr St
Gary, IN 46406-2369
Phone (219) 944-3933

Other identifiers 1

IdentifierTypeStateIssuer
100201350AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1609866722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 BURR ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464062369",
            "telephone_number": "219-944-3933",
            "fax_number": "219-944-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY STE 244",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105553",
            "telephone_number": "773-991-3602",
            "fax_number": "219-962-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH M RAMSEY MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ORVILLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-503-1132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01036485",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036068254",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100201350A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.