Individual
PAIGE R RACKLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3806 MECHANICSVILLE TPKE, RICHMOND, VA 23223-1114
(804) 228-1143
(804) 228-7382
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101265772
VA
207R00000X
Internal Medicine Physician
21173
NE
207R00000X
Internal Medicine Physician
223492
MA
207R00000X
Internal Medicine Physician
35082439R
OH
207R00000X
Internal Medicine Physician
52669
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
ONE HEALTH PLAN
—
01
—
2104997
MEDICAID WELFARE
—
05
—
2104997
—
MA
01
—
3787226
AETNA US HEALTHCARE
—
01
—
468472
TUFTS HEALTH PLAN
—
01
—
5134911
CIGNA HEALTH PLAN
—
01
—
5278213
FIRST HEALTH
—
01
—
82993
HEALTHY START
—
01
—
92268
FALLON COMMUNITY HEALTH P
—
01
—
A38108
MEDICARE B
—
01
—
AA27643
HARVARD PILGRIM HEALTHCAR
—
01
—
J28618
BLUE SHIELD INDEMNITY
—
Enumeration date
12/29/2005
Last updated
10/23/2019
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