Provider Demographics
NPI:1295813459
Name:RITTER, ANN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:MARIE
Last Name:RITTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 N 11TH ST FL 6
Mailing Address - Street 2:PO BOX 980631
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-5002
Mailing Address - Country:US
Mailing Address - Phone:804-828-9165
Mailing Address - Fax:
Practice Address - Street 1:7115 JAHNKE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4017
Practice Address - Country:US
Practice Address - Phone:804-228-6727
Practice Address - Fax:804-228-6730
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237107207T00000X
DEC10007774207T00000X
FLME128400207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL07995900Medicaid
NJ0082651Medicaid
FLME128400OtherMEDICAL LICENSE
MD4091159Medicaid
PA101488760Medicaid
VA1295813459OtherNPI
FL07995900Medicaid
FLIQ014ZMedicare PIN
H19315Medicare UPIN