Organization Active NPI

Ramic St. Louis, LLC

  • Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1639364185
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RAMIC ST. LOUIS, LLC
Practice address
1034 S Brentwood Blvd
Suite 111
Saint Louis, MO 63117-1223
Phone
(314) 863-0084
Fax
(314) 863-0096
NPI assigned
Sep 7, 2007
Organization subpart
Yes
Parent organization
FEG, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Mr. Anthony Shippam
Title
President
Phone
(302) 472-9101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1034 S Brentwood Blvd
Suite 111
Saint Louis, MO 63117-1223

Mailing address

100 Paragon Dr
Montvale, NJ 07645-1779
Phone (201) 573-8080

National Provider Directory

National Provider Directory

Locations

1034 S Brentwood Blvd
Ste 111
Saint Louis, MO 63117
Phone (314) 863-0084

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1639364185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARAGON DR",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451779",
            "telephone_number": "201-573-8080",
            "fax_number": "201-573-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "SUITE 111",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171223",
            "telephone_number": "314-863-0084",
            "fax_number": "314-863-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIC ST. LOUIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FEG, LLC",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "SHIPPAM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-472-9101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.