Active NPI
Jeanine Louise Davis Ratliff, M.D.
- Pediatrics Physician
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P6706
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3271066-02 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P6706 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Magella Medical Associates Billing, Inc. | Current | Accepting new patients | |
| Cherokee Nation | Current | 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
- 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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.