Provider Demographics
NPI:1013047745
Name:RANONIS, JOHN PATRICK JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PATRICK
Last Name:RANONIS
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:365 HACKBERRY DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-7647
Mailing Address - Country:US
Mailing Address - Phone:302-838-7622
Mailing Address - Fax:
Practice Address - Street 1:4735 OGLETOWN STANTON RD
Practice Address - Street 2:MAP II, STE 2121
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2072
Practice Address - Country:US
Practice Address - Phone:302-733-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2021-06-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC5-0000274363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical