Provider Demographics
NPI:1629050257
Name:RITTENHOUSE, STEPHEN K (DO)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:K
Last Name:RITTENHOUSE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1159 RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:PA
Mailing Address - Zip Code:17547
Mailing Address - Country:US
Mailing Address - Phone:717-426-1131
Mailing Address - Fax:717-426-2068
Practice Address - Street 1:1159 RIVER ROAD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:PA
Practice Address - Zip Code:17547
Practice Address - Country:US
Practice Address - Phone:717-426-1131
Practice Address - Fax:717-426-2068
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012218207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3974105OtherAETNA HMO
PA50054805OtherCAPITAL BLUE CROSS
PAP004760OtherGATEWAY HEALTH PLAN
PA105581 S1QEOtherGEISINGER HEALTH PLAN
PA080192271OtherRAILROAD MEDICARE
PA1418569OtherHIGHMARK BLUE SHIELD
PA0019182320005Medicaid
PA50001852OtherCAPITAL BLUE CROSS
PA50041109OtherCAPITAL BLUE CROSS
PA50065172OtherCAPITAL BLUE CROSS
PA50041080OtherCAPITAL BLUE CROSS
PA7128713OtherAETNA NON-HMO
PAH73645OtherHEALTH ASSURANCE
PA50054805OtherCAPITAL BLUE CROSS
PA50065172OtherCAPITAL BLUE CROSS
PA1418569OtherHIGHMARK BLUE SHIELD
PA0019182320005Medicaid