Healthcare Provider Details

I. General information

NPI: 1093763831
Provider Name (Legal Business Name): ROBERT K RITCHEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 SEVEN HILLS DR STE 140
HENDERSON NV
89052
US

IV. Provider business mailing address

2370 CORPORATE CIR STE 300
HENDERSON NV
89074-7760
US

V. Phone/Fax

Practice location:
  • Phone: 702-844-4840
  • Fax: 702-844-4843
Mailing address:
  • Phone: 702-910-3950
  • Fax: 702-778-2264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5809
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: