Individual provider Active NPI

Amr H Ramadan, M.D.

  • Family Medicine Physician
  • Bishop, CA
National Provider Identifier
1831280726
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A51610 Issued in CA
Practice address
153 Pioneer LN
A
Bishop, CA 93514-2557
Phone
(760) 872-7059
Fax
(760) 873-2616
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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 A51610 CA Primary

Addresses

Primary practice location

153 Pioneer LN
A
Bishop, CA 93514-2557

Mailing address

PO Box 1706
A
Bishop, CA 93515-1706
Phone (760) 872-7059

Other identifiers 1

IdentifierTypeStateIssuer
00A516100MedicaidCA

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
51610CAMDMarriage & Family Therapist
A51610CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bishop Family and Maternity Care Medical Clinic PastSince Feb 27, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amr.ramadan.p1@direct.toiyabe.nextgenshare.com

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1831280726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "address_2": "A",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935151706",
            "telephone_number": "760-872-7059",
            "fax_number": "760-873-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 PIONEER LN",
            "address_2": "A",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142557",
            "telephone_number": "760-872-7059",
            "fax_number": "760-873-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMADAN",
        "first_name": "AMR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A51610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A516100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

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