Individual provider Active NPI

David Ratcliff, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Marion, VA
National Provider Identifier
1780637561
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
0101237075 Issued in VA
Practice address
565 Radio Hill Rd
Marion, VA 24354-6587
Phone
(276) 782-1234
NPI assigned
May 19, 2006
Last updated
Jun 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0101237075 VA Primary

Addresses

Primary practice location

565 Radio Hill Rd
Marion, VA 24354-6587

Mailing address

22762 Osprey Ridge Rd
Bristol, VA 24202-5050
Phone (276) 466-4931

Other identifiers 8

IdentifierTypeStateIssuer
308553OtherANTHEM CVFP
5630350000MedicaidWV
5934513OtherAETNA CVFP
C03658OtherMEDICARE GROUP PTAN CVFP
0907130010OtherCIGNA GOVERNMENT CVFP
015064C58OtherMEDICARE INDIVIDUAL PTAN CVFP
1780637561MedicaidVA
2172994OtherUNITED HEALTHCARE GROUP CVFP

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services, LLLP Past Accepting new patients
Eastern Shore Emergency Medicine Physicians, LLC Past Accepting new patients
Joseph S. Fastow, M.D., P.a. Past Accepting new patients

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, 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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1780637561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22762 OSPREY RIDGE RD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242025050",
            "telephone_number": "276-466-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 RADIO HILL RD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243546587",
            "telephone_number": "276-782-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFF",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "0101237075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM CVFP",
            "identifier": "308553",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5630350000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA CVFP",
            "identifier": "5934513",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN CVFP",
            "identifier": "C03658",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT CVFP",
            "identifier": "0907130010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN CVFP",
            "identifier": "015064C58",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780637561",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE GROUP CVFP",
            "identifier": "2172994",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.