Basic Information
| Provider Information | |||||||||
| NPI: | 1689670374 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAMSAY | ||||||||
| FirstName: | JAMIE | ||||||||
| MiddleName: | ALEX | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 99 | ||||||||
| Address2: | |||||||||
| City: | STORY | ||||||||
| State: | WY | ||||||||
| PostalCode: | 828420099 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3076839967 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1405 WEST 5TH | ||||||||
| Address2: | ANESTHESIOLOGY | ||||||||
| City: | SHERIDAN | ||||||||
| State: | WY | ||||||||
| PostalCode: | 82801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3076721000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2005 | ||||||||
| LastUpdateDate: | 07/13/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 9900328 | NC | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 9882A | WY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 5901628 | 05 | NC | MEDICAID | P00852736 | 01 | MEDICARE RAILROAD | OTHER | 2039831B | 01 | NC | MEDICARE PTAN | OTHER | 2039831D | 01 | NC | MEDICARE PTAN | OTHER |