Active NPI
Jeffrey Lee Ralston, MD
- Orthopaedic Surgery Physician
- Cedar Rapids, IA
National Provider Identifier
1982712469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 42005
- Practice address
- 202 10TH St SE Ste 140
Cedar Rapids, IA 52403-2432 - Phone
- (319) 398-1545
- Fax
- (319) 399-2039
- NPI assigned
- Aug 26, 2006
- Last updated
- Jul 31, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 42005 | WI | Primary |
Addresses
Primary practice location
202 10TH St SE Ste 140
Cedar Rapids, IA 52403-2432
Mailing address
202 10TH St SE
Suite 140
Cedar Rapids, IA 52403
Phone (319) 398-1545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34001700 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42005 | WI | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501459200000",
"number": "1982712469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 10TH ST SE",
"address_2": "SUITE 140",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52403",
"telephone_number": "319-398-1545",
"fax_number": "319-399-2039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 10TH ST SE STE 140",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032432",
"telephone_number": "319-398-1545",
"fax_number": "319-399-2039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALSTON",
"first_name": "JEFFREY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2017-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "42005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34001700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.