Provider Demographics
NPI: | 1275354888 |
---|---|
Name: | RANSOME, NORMAN (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | NORMAN |
Middle Name: | |
Last Name: | RANSOME |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 9503 SIDE BROOK RD APT 401 |
Mailing Address - Street 2: | |
Mailing Address - City: | OWINGS MILLS |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 21117-7638 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 443-704-6777 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1829 REISTERSTOWN RD |
Practice Address - Street 2: | |
Practice Address - City: | PIKESVILLE |
Practice Address - State: | MD |
Practice Address - Zip Code: | 21208-6320 |
Practice Address - Country: | US |
Practice Address - Phone: | 443-704-6777 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2024-10-17 |
Last Update Date: | 2024-10-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MD | 101YP1600X, 103TE1100X, 1710I1003X, 171400000X, 171M00000X, 2255A2300X, 225XP0019X | |
133NN1002X, 133VN1201X, 224Y00000X | ||
MD | R00360352 | 2081S0010X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer |
No | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | Pastoral |
No | 103TE1100X | Behavioral Health & Social Service Providers | Psychologist | Exercise & Sports |
No | 133NN1002X | Dietary & Nutritional Service Providers | Nutritionist | Nutrition, Education |
No | 133VN1201X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Obesity and Weight Management |
No | 1710I1003X | Other Service Providers | Military Health Care Provider | Independent Duty Medical Technicians |
No | 171400000X | Other Service Providers | Health & Wellness Coach | |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
No | 2081S0010X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Sports Medicine |
No | 224Y00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Clinical Exercise Physiologist | |
No | 225XP0019X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Physical Rehabilitation |