Individual provider Active NPI

Maureen M Ratchford, DPM

  • Podiatrist
  • Ebensburg, PA
National Provider Identifier
1215920624
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC005820 Issued in PA
Practice address
3133 New Germany Rd
Suite 62
Ebensburg, PA 15931-4348
Phone
(814) 472-2660
Fax
(814) 472-2666
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC005820 PA Primary

Addresses

Primary practice location

3133 New Germany Rd
Suite 62
Ebensburg, PA 15931-4348

Mailing address

3133 New Germany Rd
Suite 62
Ebensburg, PA 15931-4348
Phone (814) 472-2660

Other identifiers 1

IdentifierTypeStateIssuer
1012774340001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000465 PA Practitioner - Podiatry 9436185733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Podiatry Group PCGroup PAC ID 3779512793, 2 clinicians

Practice addresses (Care Compare)

3133 New Germany Rd
Suite 62
Ebensburg, PA 15931-4348
Phone (814) 472-2660

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions1-10
Removal of nail tissue22
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC005820PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Podiatry Group PC Podiatrist CurrentSince Aug 1, 2005 Accepting new patients
Premier Podiatry Group PC Podiatrist CurrentSince Jul 1, 2005 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

3133 New Germany Rd
Ste 62
Ebensburg, PA 15931
Phone (814) 471-9005

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1215920624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 NEW GERMANY RD",
            "address_2": "SUITE 62",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314348",
            "telephone_number": "814-472-2660",
            "fax_number": "814-472-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 NEW GERMANY RD",
            "address_2": "SUITE 62",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314348",
            "telephone_number": "814-472-2660",
            "fax_number": "814-472-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCHFORD",
        "first_name": "MAUREEN",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012774340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.