Healthcare Provider Details

I. General information

NPI: 1942888730
Provider Name (Legal Business Name): GREGORY PAUL RITCHEY DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3903 LAKE AVE
ASHTABULA OH
44004-5833
US

IV. Provider business mailing address

8334 MENTOR AVE STE 100
MENTOR OH
44060-5757
US

V. Phone/Fax

Practice location:
  • Phone: 440-992-4477
  • Fax: 440-998-5452
Mailing address:
  • Phone: 440-357-8418
  • Fax: 440-255-9400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number36.004159
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: