Active NPI
Ramic St. Louis, LLC
- Clinic/Center
- Saint Louis, MO
National Provider Identifier
1639364185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Festus, MO
- NPI 1841303138
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.