Provider Demographics
NPI:1851370019
Name:RITTMEYER, CHRISTOPHER H (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:H
Last Name:RITTMEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 WATERS AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6268
Mailing Address - Country:US
Mailing Address - Phone:912-350-7914
Mailing Address - Fax:912-350-7973
Practice Address - Street 1:4750 WATERS AVE STE 307
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6268
Practice Address - Country:US
Practice Address - Phone:912-350-7914
Practice Address - Fax:912-350-7973
Is Sole Proprietor?:No
Enumeration Date:2006-01-15
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0424072080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA37BBFSXOtherMCARE ID FOR OLD PRACTICE
SCG60175Medicaid
GAP00610135OtherRR MEDICARE
GA582162071-011OtherTRICARE AFFILIATION ID
GA000704987GMedicaid
GA345562OtherWELLCARE
SCGPA748OtherMCAID GROUP ID
GA000704987EOtherMCAID ID FOR OLD PRACTICE
GA511I370093Medicare PIN
GAG28442Medicare UPIN