Individual provider Active NPI

Jamison Ratcliffe, DC

  • Chiropractor
  • Hanover, MA
National Provider Identifier
1336784529
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3673 Issued in MA
Practice address
208 Broadway
Hanover, MA 02339-2382
Phone
(781) 829-6780
NPI assigned
Nov 12, 2019
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3673 MA Primary

Addresses

Primary practice location

208 Broadway
Hanover, MA 02339-2382

Mailing address

208 Broadway
Hanover, MA 02339-2382
Phone (781) 829-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200129002442 MA Practitioner - Chiropractic 6901232586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
South Shore Integrated Health PCGroup PAC ID 0547507659, 2 clinicians

Practice addresses (Care Compare)

208 Broadway
Hanover, MA 02339-2382
Phone (781) 829-6780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3673MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Integrated Health PC Chiropractor CurrentSince Dec 7, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1336784529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BROADWAY",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392382",
            "telephone_number": "781-829-6780",
            "fax_number": "781-829-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BROADWAY",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392382",
            "telephone_number": "781-829-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFFE",
        "first_name": "JAMISON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.