Jacquelyn Valerie Ravan Andrews, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

K1341 Issued in TX

Practice address

5323 Harry Hines Blvd
Dallas, TX 75390

Phone

(214) 645-0624

Fax

(214) 645-0078

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Surgical Associates of Dallas

  • Specialist
  • Dallas, TX
  • NPI 1558371278
  NPD (past)
• Surgical Associates of Dallas

  • Specialist
  • Dallas, TX
  • NPI 1841740404
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1912963893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75284",
            "telephone_number": "214-645-0624",
            "fax_number": "214-645-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75390",
            "telephone_number": "214-645-0624",
            "fax_number": "214-645-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAN ANDREWS",
        "first_name": "JACQUELYN",
        "middle_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "K1341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100666003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raya Rauffi, CRNA
• Benjamin Raufman
• Dhvanit Raval, DO
• Dhwani Raval
• Gargi Raval, MD
• Shayan Ravanassa, MD, MPH
• Joseph Errick Ravenell, MD
• Catherine Annette Raver, M.D.
• Anhiti Ravi
• Prithika Ravi

• Surgical Oncology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgical Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.