Basic Information
| Provider Information | |||||||||
| NPI: | 1083677819 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RATNER | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | ROLF | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8019 FRANKFORD AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191362786 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2153381811 | ||||||||
| FaxNumber: | 2153383606 | ||||||||
| Practice Location | |||||||||
| Address1: | 8019 FRANKFORD AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191362786 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2153381811 | ||||||||
| FaxNumber: | 2153383606 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2006 | ||||||||
| LastUpdateDate: | 12/08/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208VP0014X | MD045589L | PA | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | 020429 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 22-1994560 | 01 | PA | FIRST MCO | OTHER | DD1386 | 01 | PA | RAILROAD (GROUP) | OTHER | 020429 | 01 | PA | PERSONAL CHOICE | OTHER | 22-1994560 | 01 | NJ | FIRST MCO | OTHER | 23-2919275 | 01 | PA | UNITED HEALTHCARE/OXFORD | OTHER | 2551744 | 01 | PA | AETNA | OTHER | 3799603 | 01 | PA | AETNA | OTHER | 50058029 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 23-2919275 | 01 | PA | FIRST MCO | OTHER | 23-2919275 | 01 | PA | PROCURA MANAGEMENT | OTHER | 0658614000 | 01 | PA | IBC PRODUCTS | OTHER | 22-1994560 | 01 | PA | DEVON | OTHER | 22-1994560 | 01 | NJ | UNITED HEALTHCARE/OXFORD | OTHER | 23-2919275 | 01 | NJ | FIRST MCO | OTHER | 23-2919275 | 01 | PA | QUALCARE | OTHER | 23-2919275 | 01 | NJ | UNITED HEALTHCARE/OXFORD | OTHER | 001412198 | 05 | PA | MEDICAID | 22-1994560 | 01 | PA | HEALTH AMERICA/HEALTH ASSURANCE | OTHER | 22-1994560 | 01 | PA | QUALCARE | OTHER | 888068 | 01 | PA | FIRST HEALTH NETWORK | OTHER | 050068192 | 01 | PA | RAIL ROAD MEDICARE | OTHER | 22-1994560 | 01 | PA | GREAT WEST HEALTHCARE | OTHER | 22-1994560 | 01 | PA | PROCURA MANAGEMENT | OTHER | 23-2919275 | 01 | PA | HEALTH AMERICA/HEALTH ASSURANCE | OTHER | 1296652 | 01 | PA | CIGNA | OTHER | 22-1994560 | 01 | NJ | HORIZON BLUE CROSS BLUE SHIELD | OTHER | 23-2919275 | 01 | PA | DEVON | OTHER | 23-2919275 | 01 | NJ | HORIZON BLUE CROSS BLUE SHIELD | OTHER | 23-2919275 | 01 | PA | GREAT WEST HEALTHCARE | OTHER | 22-1994560 | 01 | PA | UNITED HEALTHCARE/OXFORD | OTHER | 50059326 | 01 | PA | CAPITAL BLUE CROSS | OTHER | P00475880 | 01 | PA | RAILROAD MEDICARE (GROUP DB0435) | OTHER |