Lawrence G Ratcliff (NPI# 1376529214, PAC ID# 4082500814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1376529214 |
| PAC ID by PECOS | 4082500814 |
| Professional Enrollment ID | I20050802000529 |
| Full Name | Lawrence G Ratcliff |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Address |
49 E Ctr St Farmersville OH 45325-1110 |
| Phone Number | 9376962858 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860386349 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| Address | Phone | Organization |
|---|---|---|
| 49 E Ctr St, Farmersville, OH 45325-1110 | 9376962858 | PROVIDENCE MEDICAL GROUP |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Kay Edwards | Nurse Practitioner | Providence Medical Group | 8701 Troy Pike, Suite 20, Huber Heights, OH 45424-1073 |
| Timothy D Webb | Family Medicine | Providence Medical Group | 4403 W Franklin St D, Bellbrook, OH 45305-2700 |
| Krista A Miller | Nurse Practitioner | Providence Medical Group | 49 E Ctr St, Farmersville, OH 45325-1110 |
| Caitlyn Frantz | Nurse Practitioner | Providence Medical Group | 6255 Chambersburg Rd, Huber Heights, OH 45424-3873 |
| Meta Lisa Howard | Nurse Practitioner | Providence Medical Group | 400 Corporate Ctr Dr, Vandalia, OH 45377-1164 |
| Kristen M Schwieterman | Nurse Practitioner | Providence Medical Group | 4353e State Route 73, Waynesville, OH 45068-8812 |
| Kevin A Carter | Family Medicine | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Shane T Sampson | Family Medicine | Providence Medical Group | 2912 Springboro W, Moraine, OH 45439-1674 |
| Mary F Sroga | Nurse Practitioner | Providence Medical Group | 1870 Dayton Germantown Pike, Germantown, OH 45327-1100 |
| James R Fisco | Family Medicine | Providence Medical Group | 70 Remick Blvd, Springboro, OH 45066-9168 |
| Street Address |
49 E CTR ST |
| City | FARMERSVILLE |
| State | OH |
| Zip | 45325-1110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista A Miller | Nurse Practitioner | Providence Medical Group | 49 E Ctr St, Farmersville, OH 45325-1110 |
| Danielle R Little | Nurse Practitioner | Providence Medical Group | 49 E Ctr St, Farmersville, OH 45325-1110 |
| City | FARMERSVILLE |
| Zip Code | 45325 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FARMERSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lawrence G Ratcliff.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.