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 1:2701 HOLME AVE STE 205
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-2029
Practice Address - Country:US
Practice Address - Phone:215-338-1811
Practice Address - Fax:215-338-3606
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045589L207L00000X, 208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA23-2919275OtherPROCURA MANAGEMENT
PA050068192OtherRAIL ROAD MEDICARE
PA22-1994560OtherQUALCARE
NJ22-1994560OtherHORIZON BLUE CROSS BLUE SHIELD
NJ23-2919275OtherHORIZON BLUE CROSS BLUE SHIELD
PA23-2919275OtherUNITED HEALTHCARE/OXFORD
PA23-2919275OtherQUALCARE
PA50059326OtherCAPITAL BLUE CROSS
PA020429OtherPERSONAL CHOICE
PA23-2919275OtherFIRST MCO
PA23-2919275OtherGREAT WEST HEALTHCARE
PA23-2919275OtherHEALTH AMERICA/HEALTH ASSURANCE
NJ23-2919275OtherFIRST MCO
PA2551744OtherAETNA
PA888068OtherFIRST HEALTH NETWORK
PA020429OtherHIGHMARK BLUE SHIELD
PA22-1994560OtherDEVON
PA22-1994560OtherFIRST MCO
NJ22-1994560OtherUNITED HEALTHCARE/OXFORD
NJ22-1994560OtherFIRST MCO
PA22-1994560OtherUNITED HEALTHCARE/OXFORD
PA0658614000OtherIBC PRODUCTS
PA23-2919275OtherDEVON
PA50058029OtherCAPITAL BLUE CROSS
PA22-1994560OtherPROCURA MANAGEMENT
PA22-1994560OtherHEALTH AMERICA/HEALTH ASSURANCE
PAP00475880OtherRAILROAD MEDICARE (GROUP DB0435)
NJ23-2919275OtherUNITED HEALTHCARE/OXFORD
PADD1386OtherRAILROAD (GROUP)
PA1296652OtherCIGNA
PA22-1994560OtherGREAT WEST HEALTHCARE
PA3799603OtherAETNA
PAP00475880OtherRAILROAD MEDICARE (GROUP DB0435)
PA23-2919275OtherDEVON
NJ23-2919275OtherFIRST MCO
PA020429Q1RMedicare PIN
NJ084277RUZMedicare PIN
PA3799603OtherAETNA
PA2551744OtherAETNA
PA23-2919275OtherHEALTH AMERICA/HEALTH ASSURANCE
PA020429D09Medicare PIN