Active NPI
James E Ravencraft II, P.A.C.
- Physician Assistant
- Ashland, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA336
- Practice address
- 2222 Winchester Ave
Ashland, KY 41101-7847 - Phone
- (606) 325-9644
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA336 | KY | Primary |
Addresses
Primary practice location
2222 Winchester Ave
Ashland, KY 41101-7847
Mailing address
2222 Winchester Ave
Ashland, KY 41101-7847
Phone (606) 325-9644
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95003364 | Medicaid | KY | |
| P00847796 | Other | KY | RAIL ROAD MEDICARE |
| P00847796 | Other | KY | RAILROAD MEDICARE |
| 970009625 | Other | KY | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Therapy and Health Centers Inc
Practice addresses (Care Compare)
12100 Princeland Dr
Ashland, KY 41102-7885
Phone (606) 928-2963
2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000
2340 Carter Ave
Ashland, KY 41101-7826
Phone (606) 325-9644
2400 13TH St
Ashland, KY 41102-4510
Phone (606) 329-0910
398 Diederich Blvd
Ashland, KY 41101-7008
Phone (606) 324-8060
Hospital & facility affiliations
- King'S Daughters' Medical Center
- Kings Daughters Medical Center Ohio
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.16 of 100
- Quality
- 77.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA336 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Hospital Corporation | Current | Accepting new patients | |
| Ashland Hospital Corporation | Current | Accepting new patients | |
| Dr. Melissa Davis, P.S.C. | Past | Accepting new patients | |
| Ashland Family Medicine | Past | Accepting new patients | |
| Cincinnati Health Care Group PSC | Past | Accepting new patients |
Locations
2222 Winchester Ave
Ashland, KY 41101
Phone (606) 325-8261
2340 Carter Ave
Ashland, KY 41101
Phone (606) 324-7083
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
2001 Winchester Ave
Ashland, KY 41101
Phone (606) 324-3444
12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963
100 Bellefonte Dr
Grayson, KY 41143
Phone (606) 474-0669
Interoperability endpoints
- jravencraft73258@direct.kdhealth.us
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Jackson, OH
- NPI 1356434773
-
- Family Medicine Physician
- Ashland, KY
- NPI 1366527467
-
- Ambulatory Surgical Clinic/Center
- Crestview Hills, KY
- NPI 1881616357
-
- Family Medicine Physician
- Ashland, KY
- NPI 1972792034
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1417227398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1083643274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 WINCHESTER AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017847",
"telephone_number": "606-325-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 WINCHESTER AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017847",
"telephone_number": "606-325-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVENCRAFT",
"first_name": "JAMES",
"middle_name": "E",
"name_suffix": "II",
"credential": "P.A.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95003364",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00847796",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00847796",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970009625",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.