Provider Demographics
NPI:1336104116
Name:PETER A. RAMIREZ, M.D. & ASSOCIATES LLC
Entity type:Organization
Organization Name:PETER A. RAMIREZ, M.D. & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-320-0755
Mailing Address - Street 1:3121 EVELYN DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45434-4309
Mailing Address - Country:US
Mailing Address - Phone:937-320-0755
Mailing Address - Fax:937-320-1589
Practice Address - Street 1:3121 EVELYN DR
Practice Address - Street 2:SUITE 110
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45434-4309
Practice Address - Country:US
Practice Address - Phone:937-320-0755
Practice Address - Fax:937-320-1589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty