Individual provider Active NPI

Maris Gail Ramsay, DO

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1750367041
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0004731 Issued in FL
Practice address
2724 N Hiawassee Rd Ste 200
Orlando, FL 32818-3008
Phone
(407) 906-0082
Fax
(407) 604-2606
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0004731 FL Primary

Addresses

Primary practice location

2724 N Hiawassee Rd Ste 200
Orlando, FL 32818-3008

Mailing address

2724 N Hiawassee Rd Ste 200
Orlando, FL 32818-3008
Phone (407) 906-0082

Other identifiers 1

IdentifierTypeStateIssuer
053517600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120405000381 FL Practitioner - Family Practice 3577724293 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0004731FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Apr 15, 2020 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients

Locations

206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2724 N Hiawassee Rd
Ste 200
Orlando, FL 32818
Phone (407) 906-0082

9460 S Orange Blossom Trl
Orlando, FL 32837
Phone (407) 855-0154

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1750367041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 N HIAWASSEE RD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183008",
            "telephone_number": "407-906-0082",
            "fax_number": "407-604-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 N HIAWASSEE RD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183008",
            "telephone_number": "407-906-0082",
            "fax_number": "407-604-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSAY",
        "first_name": "MARIS",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0004731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053517600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.