Organization Active NPI

Ronald E. Jamerson, M.D.,P.C.

  • Otolaryngology Physician
  • Dyer, IN
National Provider Identifier
1760602361
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01039372 Issued in IN
Legal business name
RONALD E. JAMERSON, M.D.,P.C.
Practice address
24 Joliet St
Sutie 301
Dyer, IN 46311-1705
Phone
(219) 322-7462
Fax
(219) 322-8347
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald Eugene Jamerson, M.D.
Title
C.E.O
Phone
(219) 322-7462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 01039372 IN Primary

Addresses

Primary practice location

24 Joliet St
Sutie 301
Dyer, IN 46311-1705

Mailing address

24 Joliet St
Sutie 301
Dyer, IN 46311-1705
Phone (219) 322-7462

National Provider Directory

National Provider Directory

Locations

24 Joliet St
Ste 301
Dyer, IN 46311
Phone (219) 322-7462

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760602361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 JOLIET ST",
            "address_2": "SUTIE 301",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111705",
            "telephone_number": "219-322-7462",
            "fax_number": "219-322-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 JOLIET ST",
            "address_2": "SUTIE 301",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111705",
            "telephone_number": "219-322-7462",
            "fax_number": "219-322-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD E. JAMERSON, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMERSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "219-322-7462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01039372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.