Provider Demographics
NPI:1639325426
Name:JAMES M. RITTER, M.D., P.A.
Entity Type:Organization
Organization Name:JAMES M. RITTER, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-740-4828
Mailing Address - Street 1:1215 BARLEY MILL RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19807-2225
Mailing Address - Country:US
Mailing Address - Phone:302-740-4828
Mailing Address - Fax:302-655-8988
Practice Address - Street 1:701 N CLAYTON ST
Practice Address - Street 2:ST. FRANCIS HOSPITAL, MEDICAL SERVICES BLDG, SUITE 601
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3165
Practice Address - Country:US
Practice Address - Phone:302-740-4828
Practice Address - Fax:302-655-8988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0002558207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE132146Medicare PIN