MEDICARE: L. T. RITCHIE, M.D., LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	025294L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	495951	OTHER	PA	AETNA USHEALTHCARE
2	100102	OTHER	PA	UPMC HEALTH PLAN

General Provider Information

NPI Number	:	1588608814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L. T. RITCHIE, M.D., LTD

Provider Business Mailing Address
First Line	:	1430 LINCOLN WAY
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1606
Country	:	US
Telephone Number	:	412-678-6565
Fax Number	:	412-678-9427

Provider Business Practice Location Address
First Line	:	1430 LINCOLN WAY
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1606
Country	:	US
Telephone Number	:	412-678-6565
Fax Number	:	412-678-9427

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAURENCE THOMAS RITCHIE
Credential	:	M.D.
Telephone Number	:	412-678-6565

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	08/22/2020

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