Healthcare Provider Details

I. General information

NPI: 1093605420
Provider Name (Legal Business Name): MELISSA ROSE RATZEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W CHERRY ST
SUNBURY OH
43074-3575
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-685-2805
  • Fax:
Mailing address:
  • Phone: 614-685-2805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.009590RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: