Provider Demographics
NPI:1053519793
Name:RATCHFORD, JOHN NOLAN (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:NOLAN
Last Name:RATCHFORD
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 1:600 N WOLFE ST
Mailing Address - Street 2:JOHNS HOPKINS HOSPITAL PATHOLOGY 625
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-6965
Mailing Address - Country:US
Mailing Address - Phone:410-614-1522
Mailing Address - Fax:410-502-6736
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:PATHOLOGY 627A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-614-1522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00665532084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD016544100Medicaid
MD016544100Medicaid