Organization Active NPI

Ramic Kettering, L.L.C.

  • Clinic/Center
  • Kettering, OH
National Provider Identifier
1871788315
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0839IC Issued in OH
Legal business name
RAMIC KETTERING, L.L.C.
Practice address
580 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-3474
Phone
(937) 298-3510
Fax
(937) 298-4231
NPI assigned
Sep 7, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
FEG, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Anthony Shippam
Title
President
Phone
(302) 472-0269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0839IC OH Primary

Addresses

Primary practice location

580 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-3474

Mailing address

100 Paragon Dr
Montvale, NJ 07645-1779
Phone (201) 573-8080

National Provider Directory

National Provider Directory

Locations

100 Paragon Dr
Montvale, NJ 07645

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": "1871788315",
    "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": "580 LINCOLN PARK BLVD",
            "address_2": "SUITE 100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293474",
            "telephone_number": "937-298-3510",
            "fax_number": "937-298-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIC KETTERING, L.L.C.",
        "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": "302-472-0269"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "0839IC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

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.

Verify at the official NPI Registry.