Caitlin Ralston, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA003996 Issued in PA

Practice address

100 Schuylkill Med PLZ
Suite 202
Pottsville, PA 17901-3636

Phone

(570) 621-5987

Fax

(570) 621-5980

NPI assigned

Oct 25, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1013469139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SCHUYLKILL MED PLZ",
            "address_2": "SUITE 202",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013636",
            "telephone_number": "570-621-5987",
            "fax_number": "570-621-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 E Brown St",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183013006",
            "country_code": "US",
            "telephone_number": "570-421-4000",
            "fax_number": "570-476-3786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "CAITLIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058688",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marylou Rainone, D.O.
• David Richard Rajchel, OD
• Rajendra Singh MD PC
• Rajnish P Chaudhry MD
• Kristyn Marie Rakus, M.S., CF-SLP
• Gena Lee Rang, MS, OTR/L
• Gerald Alan Ravitz, M.D.
• Georgia Rayfield, BHT/RBT
• Recovery Edge Peer Support and Recovery Services, Inc.
• Redco Group, LLC

• Physician Assistant in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.