Active NPI
Keith M Ramsey Medical Corp
- Obstetrics & Gynecology Physician
- Merrillville, IN
National Provider Identifier
1609866722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01036485
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01036485 | IN | Primary |
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100201350A | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI 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.