Provider Demographics
| NPI: | 1083677819 |
|---|---|
| Name: | RATNER, ERIC ROLF (MD) |
| Entity Type: | Individual |
| Prefix: | DR |
| First Name: | ERIC |
| Middle Name: | ROLF |
| Last Name: | RATNER |
| Suffix: | |
| Gender: | M |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | PO BOX 45749 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BALTIMORE |
| Mailing Address - State: | MD |
| Mailing Address - Zip Code: | 21297-5749 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 215-338-1811 |
| Mailing Address - Fax: | 215-338-3606 |
| Practice Address - Street 1: | 2201 RIDGEWOOD RD STE 200 |
| Practice Address - Street 2: | |
| Practice Address - City: | WYOMISSING |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 19610-1196 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 610-375-6226 |
| Practice Address - Fax: | 484-509-2933 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-04-11 |
| Last Update Date: | 2022-12-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| PA | MD045589L | 207LP2900X, 208VP0000X, 208VP0014X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
| No | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
| No | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| PA | 050068192 | Other | RAIL ROAD MEDICARE |
| NJ | 22-1994560 | Other | FIRST MCO |
| PA | 23-2919275 | Other | DEVON |
| PA | 1296652 | Other | CIGNA |
| PA | 22-1994560 | Other | HEALTH AMERICA/HEALTH ASSURANCE |
| NJ | 22-1994560 | Other | UNITED HEALTHCARE/OXFORD |
| PA | 22-1994560 | Other | GREAT WEST HEALTHCARE |
| NJ | 23-2919275 | Other | FIRST MCO |
| PA | 888068 | Other | FIRST HEALTH NETWORK |
| PA | P00475880 | Other | RAILROAD MEDICARE (GROUP DB0435) |
| PA | 0658614000 | Other | IBC PRODUCTS |
| NJ | 23-2919275 | Other | HORIZON BLUE CROSS BLUE SHIELD |
| PA | 22-1994560 | Other | FIRST MCO |
| PA | 22-1994560 | Other | PROCURA MANAGEMENT |
| PA | 23-2919275 | Other | UNITED HEALTHCARE/OXFORD |
| PA | 50058029 | Other | CAPITAL BLUE CROSS |
| PA | 020429 | Other | HIGHMARK BLUE SHIELD |
| PA | 23-2919275 | Other | FIRST MCO |
| NJ | 23-2919275 | Other | UNITED HEALTHCARE/OXFORD |
| PA | 3799603 | Other | AETNA |
| PA | 50059326 | Other | CAPITAL BLUE CROSS |
| NJ | 22-1994560 | Other | HORIZON BLUE CROSS BLUE SHIELD |
| PA | 23-2919275 | Other | GREAT WEST HEALTHCARE |
| PA | 2551744 | Other | AETNA |
| PA | 22-1994560 | Other | UNITED HEALTHCARE/OXFORD |
| PA | 22-1994560 | Other | QUALCARE |
| PA | 23-2919275 | Other | PROCURA MANAGEMENT |
| PA | 020429 | Other | PERSONAL CHOICE |
| PA | 22-1994560 | Other | DEVON |
| PA | 23-2919275 | Other | HEALTH AMERICA/HEALTH ASSURANCE |
| PA | 23-2919275 | Other | QUALCARE |
| PA | DD1386 | Other | RAILROAD (GROUP) |
| PA | P00475880 | Other | RAILROAD MEDICARE (GROUP DB0435) |
| PA | 23-2919275 | Other | DEVON |
| NJ | 23-2919275 | Other | FIRST MCO |
| PA | 020429Q1R | Medicare PIN | |
| NJ | 084277RUZ | Medicare PIN | |
| PA | 3799603 | Other | AETNA |
| PA | 2551744 | Other | AETNA |
| PA | 23-2919275 | Other | HEALTH AMERICA/HEALTH ASSURANCE |
| PA | 020429D09 | Medicare PIN |
