Provider Demographics
NPI:1376926550
Name:JAMES RITTELMEYER MD CARDIOLOGY
Entity Type:Organization
Organization Name:JAMES RITTELMEYER MD CARDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:RITTELMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-361-9900
Mailing Address - Street 1:1100 N 18TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5712
Mailing Address - Country:US
Mailing Address - Phone:318-361-9900
Mailing Address - Fax:318-361-0428
Practice Address - Street 1:1100 N 18TH ST STE 100
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5712
Practice Address - Country:US
Practice Address - Phone:318-361-9900
Practice Address - Fax:318-361-0428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.208039207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty