Healthcare Provider Details

I. General information

NPI: 1457748394
Provider Name (Legal Business Name): DAVID RITTER M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2015
Last Update Date: 07/06/2020
Certification Date: 07/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVENUE ML 2015
CINCINNATI OH
45229-3039
US

IV. Provider business mailing address

3333 BURNET AVE ML 2015
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4222
  • Fax: 513-636-3980
Mailing address:
  • Phone: 513-636-4222
  • Fax: 513-636-3980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number35.138612
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number35.138612
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: