MEDICARE: DR. JEFFREY A RANTA MD

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
1	208800000X	Urology Physician	025617	CT
2	208800000X	Urology Physician	MD464517	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	340004055	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	020035	OTHER	HEALTHNET
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	010025617CT01	OTHER	BC/BS
5	025617	OTHER	CONNETICARE
6	567460	OTHER	AETNA
7	ZS719	OTHER	OXFORD

General Provider Information

NPI Number	:	1902800774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY A RANTA MD

Provider Business Mailing Address
First Line	:	2600 MAIN ST
Second Line	:	STE 119
City	:	BRIDGEPORT
State	:	CT
Zip	:	06606-5305
Country	:	US
Telephone Number	:	570-724-3636
Fax Number	:	570-724-3326

Provider Business Practice Location Address
First Line	:	15 MEADE ST STE U3
Second Line	:
City	:	WELLSBORO
State	:	PA
Zip	:	16901
Country	:	US
Telephone Number	:	570-724-3636
Fax Number	:	570-724-3326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	04/29/2020

Similar Medicare Providers

1093718108 — DONALD GOLOBEK
Practice Location Address:

9 WATER ST
WELLSBORO, PA
16901-1117

Practice Phone: 570-724-2325
Practice Fax:

1326044256 — DAVID M CAHILL MD
Practice Location Address:

15 MEADE ST , STE L5
WELLSBORO, PA
16901-1813

Practice Phone: 570-724-4670
Practice Fax: 570-724-3896

1811993744 — LEONARD E. DALE II MD
Practice Location Address:

32-36 CENTRAL AVE
WELLSBORO, PA
16901-1840

Practice Phone: 570-723-0163
Practice Fax: 570-723-0188

1699772327 — THE GREEN HOME
Practice Location Address:

37 CENTRAL AVE
WELLSBORO, PA
16901-1857

Practice Phone: 570-724-3131
Practice Fax: 570-724-2367

1316945918 — DR. MARC A. WALTERS D.C.
Practice Location Address:

125 MAIN ST
WELLSBORO, PA
16901-1414

Practice Phone: 814-435-8200
Practice Fax:

1043219280 — MR. EDWARD R. HESS MD
Practice Location Address:

1 MAIN ST
WELLSBORO, PA
16901-1601

Practice Phone: 570-723-0716
Practice Fax:

Directions to “ DR. JEFFREY A RANTA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.