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NPI Code Detail

MEDICARE: DR. JOHN E RATLIFF D.O.

MEDICARE: DR. JOHN E RATLIFF D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34002509OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164465837
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN E RATLIFF D.O.
Provider Business Mailing Address
First Line : 1289 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2838
Country : US
Telephone Number : 614-252-0917
Fax Number : 614-252-6153
Provider Business Practice Location Address
First Line : 1289 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2838
Country : US
Telephone Number : 614-252-0917
Fax Number : 614-252-6153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 07/08/2007

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