Active NPI
Jonathon Daniel Ratkus, SOIDC
- Independent Duty Corpsman
- Virginia Beach, VA
National Provider Identifier
1275157745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- 1636 Regulus Ave
Virginia Beach, VA 23461-2200 - Phone
- (757) 862-0077
- NPI assigned
- Jun 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
1636 Regulus Ave
Virginia Beach, VA 23461-2200
Mailing address
1636 Regulus Ave
Virginia Beach, VA 23461-2200
Phone (757) 862-0077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1275157745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 REGULUS AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234612200",
"telephone_number": "757-862-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 REGULUS AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234612200",
"telephone_number": "757-862-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATKUS",
"first_name": "JONATHON",
"middle_name": "DANIEL",
"credential": "SOIDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-01",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.