Basic Information
Provider Information
NPI: 1174539936
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMAEKERS
FirstName: RYAN
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2000 Q ST
Address2: SUITE 500
City: LINCOLN
State: NE
PostalCode: 685033609
CountryCode: US
TelephoneNumber: 4027174377
FaxNumber: 4027174317
Practice Location
Address1: 2116 W FAIDLEY AVE
Address2:  
City: GRAND ISLAND
State: NE
PostalCode: 688034678
CountryCode: US
TelephoneNumber: 3083985450
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/01/2006
LastUpdateDate: 01/17/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X36693IAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0003X23813NEY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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