Active NPI
Paul David Ratcliff Jr., DO
- Diagnostic Radiology Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS15566
- Practice address
- 19621 Cochran Blvd
Port Charlotte, FL 33948-2070 - Phone
- (855) 674-4624
- NPI assigned
- Apr 17, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | W1666 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | OS15566 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 2315 | WV | |
| Diagnostic Radiology Physician | 2085R0202X | 1635845 | MI |
Addresses
Primary practice location
19621 Cochran Blvd
Port Charlotte, FL 33948-2070
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
5625 Eiger Rd Ste 200
Austin, TX 78735-8982
Phone (512) 892-7076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810014803 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- West Virginia School of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10105 Clear Vista St
Suite 100
Orlando, FL 32832-6375
Phone (407) 587-0710
10910 State Rd 70 E
103 Simonmed Imaging Lakewood Ranch
Lakewood Ranch, FL 34202-8406
Phone (941) 954-1900
1126 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 432-3061
1128 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 420-6105
1132 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 277-4690
11513 N Main St
Jacksonville, FL 32218-4002
Phone (904) 751-6200
1315 S Orange Ave
1B Simonmed Imaging Delaney Park
Orlando, FL 32806-2145
Phone (407) 999-9977
1350 W Fairbanks Ave
Simonmed Imaging Winter Park III
Winter Park, FL 32789-4804
Phone (321) 203-5730
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343
13940 N US Hwy 441 201
Simonmed Imaging the Villages
The Villages, FL 32159-8909
Phone (352) 241-7448
14400 Tamiami TRL
Unit B
North Port, FL 34287-2703
Phone (941) 423-5056
1528 Del Prado Blvd S
Cape Coral, FL 33990-3798
Phone (239) 458-3338
1639 N Volusia Ave
Simonmed Imaging Orange City
Orange City, FL 32763-3843
Phone (386) 774-7226
1659 US Hwy 27 N
Suite 102
Avon Park, FL 33825-2103
Phone (863) 657-0710
1700 E Venice Ave
Venice, FL 34292-3190
Phone (941) 800-4700
1720 E Venice Ave
Venice, FL 34292-3190
Phone (941) 483-9700
1735 SW Health Pkwy
Suite 201
Naples, FL 34109-0421
Phone (239) 249-7800
1915 Aloma Ave
Winter Park, FL 32792-3212
Phone (321) 203-5710
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
19621 Cochran Blvd
Port Charlotte, FL 33948-2070
Phone (855) 674-4624
208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700
211 N 1St St
Simonmed Imaging Leesburg
Leesburg, FL 34748-5150
Phone (352) 241-7446
2121 S Orange Ave
Simonmed Imaging Kaley II
Orlando, FL 32806-3067
Phone (407) 514-1870
2227 US Hwy 27 S
Sebring, FL 33870-4936
Phone (863) 202-8100
2237 Lithia Ctr LN
Valrico, FL 33596-5676
Phone (813) 662-0123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS15566 | FL | MD | Diagnostic Radiology Physician |
| 1635845 | MI | MD | Diagnostic Radiology Physician |
| W1666 | TX | MD | Diagnostic Radiology Physician |
| 2315 | WV | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LCM Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Appalachian Mountains Medical, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Akumin Imaging Texas LLC | Current | Accepting new patients | |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Greenbrier Clinic Surgery Center | Current | Accepting new patients | |
| Afo Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Preferred Imaging of Plano, LLC | Current | Accepting new patients |
Locations
14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
6000 Turkey Lake Rd
Ste 10
Orlando, FL 32819
Phone (407) 514-1840
19621 Cochran Blvd
Port Charlotte, FL 33948
Phone (855) 674-4624
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
4051 Upper Creek Dr
Ste 10
Sun City Ctr, FL 33573
Phone (813) 634-0010
14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111
105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404
223 Dry Hill Rd
Beckley, WV 25801
454 McDowell St
Welch, WV 24801
Phone (304) 436-8461
40823 Midland Trl E
Wht Sphr Spgs, WV 24986
Phone (304) 536-4870
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
dba Simonmed Imaging Tampa
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
FL
-
- Family Medicine Physician
- Austin, TX
- NPI 1235130592
-
- Emergency Medicine Physician
- Welch, WV
- NPI 1881023117
Diagnostic Radiology
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
FL
-
- Internal Medicine Physician
- White Sulphur Springs, WV
- NPI 1043258783
-
dba Advanced Diagnostic Group
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1740366764
-
dba Imaging Center of Delray Beach
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Delray Beach, FL
- NPI 1225402464
-
dba Imaging Center of Boynton Beach
- Radiology Clinic/Center
- Boynton Beach, FL
- NPI 1396974705
-
- Radiology Clinic/Center
- West Palm Beach, FL
- NPI 1538152939
-
dba Imaging Center of Lake Worth West
- Radiology Clinic/Center
- Lake Worth, FL
- NPI 1639308042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1275759565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19621 COCHRAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339482070",
"telephone_number": "855-674-4624"
}
],
"practiceLocations": [
{
"address_1": "5625 Eiger Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787358982",
"country_code": "US",
"telephone_number": "512-892-7076",
"fax_number": "855-270-9668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RATCLIFF",
"first_name": "PAUL",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "W1666",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS15566",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "2315",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "1635845",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810014803",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.