Basic Information
Provider Information | |||||||||
NPI: | 1427049006 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | BROWNING | ||||||||
FirstName: | RAMONA | ||||||||
MiddleName: | M. | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 950244 | ||||||||
Address2: |   | ||||||||
City: | LOUISVILLE | ||||||||
State: | KY | ||||||||
PostalCode: | 402950244 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5029534700 | ||||||||
FaxNumber: | 5027728189 | ||||||||
Practice Location | |||||||||
Address1: | 2215 PORTLAND AVE | ||||||||
Address2: |   | ||||||||
City: | LOUISVILLE | ||||||||
State: | KY | ||||||||
PostalCode: | 402121033 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5027748631 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 11/02/2005 | ||||||||
LastUpdateDate: | 10/04/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | Y | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 10/04/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 28986 | KY | Y |   | Allopathic & Osteopathic Physicians | Pediatrics |   |
ID Information
ID | Type | State | Issuer | Description | 611452545 | 01 | KY | CIGNA | OTHER | 64289861 | 05 | KY |   | MEDICAID | 611452545 | 01 | KY | FARRIS GROUP | OTHER | 611452545 | 01 | KY | NORTON ONE | OTHER | 611452545 | 01 | KY | ONE HEALTH | OTHER | 36M7 | 01 | KY | BCBS | OTHER | 50001648 | 01 | KY | PASSPORT | OTHER | 611452545 | 01 | KY | PHP | OTHER | 000000293506 | 01 | KY | TEAMCARE/ANTHEM | OTHER | 611452545 | 01 | KY | DIRECT CARE AMERICA | OTHER | 611452545 | 01 | KY | CCN | OTHER | 611452545 | 01 | KY | MULTIPLAN | OTHER | 611452545 | 01 | KY | EMPLOYERS FIRST | OTHER | 611452545 | 01 | KY | HUMANA | OTHER | 611452545 | 01 | KY | CHA | OTHER | KY3779P | 01 | KY | SIHO | OTHER | 611452545 | 01 | KY | FIRST HEALTH | OTHER | 611452545 | 01 | KY | PHCS | OTHER | 611452545 | 01 | KY | AETNA | OTHER | 611452545 | 01 | KY | PPO NEXT | OTHER |