Provider Demographics
NPI:1104825462
Name:RITTER, WILLIAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:RITTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9119 W 74TH ST
Mailing Address - Street 2:SUITE 350
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2215
Mailing Address - Country:US
Mailing Address - Phone:913-789-3290
Mailing Address - Fax:913-789-3208
Practice Address - Street 1:9119 W 74TH ST
Practice Address - Street 2:SUITE 350
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204-2215
Practice Address - Country:US
Practice Address - Phone:913-789-3290
Practice Address - Fax:913-789-3208
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2013-09-11
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Provider Licenses
StateLicense IDTaxonomies
MOR8312207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1104825462Medicaid
MOC51598Medicare UPIN
MO1104825462Medicaid
KS4014646AMedicare PIN