Provider Demographics
NPI:1588608814
Name:L. T. RITCHIE, M.D., LTD
Entity Type:Organization
Organization Name:L. T. RITCHIE, M.D., LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:RITCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-678-6565
Mailing Address - Street 1:1430 LINCOLN WAY
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-1606
Mailing Address - Country:US
Mailing Address - Phone:412-678-6565
Mailing Address - Fax:412-678-9427
Practice Address - Street 1:1430 LINCOLN WAY
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-1606
Practice Address - Country:US
Practice Address - Phone:412-678-6565
Practice Address - Fax:412-678-9427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA025294L208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA495951OtherAETNA USHEALTHCARE
PA100102OtherUPMC HEALTH PLAN
PA495951OtherAETNA USHEALTHCARE
PA011929Medicare ID - Type Unspecified