Individual provider Active NPI

Ramon Vargas, M.D.

  • Family Medicine Physician
  • Kenner, LA
National Provider Identifier
1760712053
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD06491R Issued in LA
Practice address
613 Williams Blvd
Kenner, LA 70062-7635
Phone
(504) 441-5555
Fax
(504) 441-5550
NPI assigned
Jan 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pharmacology Physician 208U00000X MD.06491R LA
Family Medicine Physician 207Q00000X MD06491R LA Primary

Addresses

Primary practice location

613 Williams Blvd
Kenner, LA 70062-7635

Mailing address

3520 General Degaulle Dr
Suite 4030
New Orleans, LA 70114-6757
Phone (504) 620-4273

Other identifiers 1

IdentifierTypeStateIssuer
1341282MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD06491RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pma Medical Treatment Centers, LLC PastSince Jan 1, 2016 Accepting new patients
Robert a Varnado Iinc Past Accepting new patients

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": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1760712053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GENERAL DEGAULLE DR",
            "address_2": "SUITE 4030",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146757",
            "telephone_number": "504-620-4273",
            "fax_number": "504-363-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700627635",
            "telephone_number": "504-441-5555",
            "fax_number": "504-441-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "LA",
            "license": "MD.06491R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD06491R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1341282",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.