Individual provider Active NPI

Jeanine Louise Davis Ratliff, M.D.

  • Pediatrics Physician
  • Richardson, TX
National Provider Identifier
1881829901
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P6706 Issued in TX
Practice address
3001 George Bush Hwy
Suite 250
Richardson, TX 75082-3542
Phone
(214) 343-6663
Fax
(214) 343-2814
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P6706 TX Primary
Hospitalist Physician 208M00000X P6706 TX

Addresses

Primary practice location

3001 George Bush Hwy
Suite 250
Richardson, TX 75082-3542

Mailing address

3001 George Bush Hwy
Suite 250
Richardson, TX 75082-3542
Phone (214) 343-6663

Other identifiers 1

IdentifierTypeStateIssuer
3271066-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140424001655 TX Practitioner - Pediatric Medicine 2769615848 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P6706TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince Dec 18, 2016 Accepting new patients
Cherokee Nation CurrentSince Aug 4, 2024 Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince May 1, 2014 Accepting new patients
Cherokee Nation CurrentSince Aug 4, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Tarrant County Hospital District Past Accepting new patients
Cherokee Nation Past Accepting new patients

Locations

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

3500 Gaston Ave
Dallas, TX 75246

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

Interoperability endpoints

  • Direct secure messaging: jratliff55842@direct.jpshealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1881829901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 GEORGE BUSH HWY",
            "address_2": "SUITE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823542",
            "telephone_number": "214-343-6663",
            "fax_number": "214-343-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GEORGE BUSH HWY",
            "address_2": "SUITE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823542",
            "telephone_number": "214-343-6663",
            "fax_number": "214-343-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "JEANINE",
        "middle_name": "LOUISE DAVIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P6706",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P6706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3271066-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.