Provider Demographics
NPI:1942284286
Name:RITCHEY, ROBERT (DPM)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:RITCHEY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ATTUCKS LN
Mailing Address - Street 2:UNIT 2A
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-1811
Mailing Address - Country:US
Mailing Address - Phone:508-771-7272
Mailing Address - Fax:508-790-8149
Practice Address - Street 1:700 ATTUCKS LN
Practice Address - Street 2:UNIT 2A
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-1811
Practice Address - Country:US
Practice Address - Phone:508-771-7272
Practice Address - Fax:508-790-8149
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1759213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1759OtherLICENSE
MA1759OtherLICENSE
MAY70805Medicare ID - Type Unspecified