Provider Demographics
NPI:1053370007
Name:RAMPONA, DOUGLAS MERCER (MD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:MERCER
Last Name:RAMPONA
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 1:848 FIRST COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6126
Mailing Address - Country:US
Mailing Address - Phone:757-428-1005
Mailing Address - Fax:
Practice Address - Street 1:848 FIRST COLONIAL RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6126
Practice Address - Country:US
Practice Address - Phone:757-428-1005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101020148207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10021775OtherOPTIMA
261231OtherUNITED HEALTHCARE
3395234OtherCIGNA
0498931OtherGHI
4644028OtherAETNA
VA175159OtherANTHEM BCBS
VA175159OtherANTHEM BCBS
VA00W999F03Medicare PIN
VAC46005Medicare UPIN
VA4847010001Medicare NSC
VA180045237Medicare PIN
VA180045237Medicare ID - Type UnspecifiedRAILROAD