Christian Bruce Rathke, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110003347 Issued in VA

Practice address

1871 Evelyn Byrd Ave
Harrisonburg, VA 22801-3487

Phone

(540) 434-0559

Fax

(540) 434-1348

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harrisonburg Medical Associates

  • General Practice Physician
  • Harrisonburg, VA
  • NPI 1730146002
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1073589289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 EVELYN BYRD AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013487",
            "telephone_number": "540-434-0559",
            "fax_number": "540-434-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 EVELYN BYRD AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013487",
            "telephone_number": "540-434-0559",
            "fax_number": "540-434-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHKE",
        "first_name": "CHRISTIAN",
        "middle_name": "BRUCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689822652",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ilija Steven Rakaric, M.D.
• Amanda Armstrong Randall, BCBA-D, LBA
• Saranna Tucker Rankin, LCSW
• Christopher A. Rapp, M.A., ED.S., L.P.C.
• Rebecca Elaine Rapp, OTR-L
• Navdeep Kaur Ravash
• Billy Michael Ray, D.C.
• Katelyn Marie Ray, FNP-C
• Steven Ray
• Raymond J Alderfer MD PLC

• Medical Physician Assistant in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.