Healthcare Provider Details

I. General information

NPI: 1295813459
Provider Name (Legal Business Name): ANN MARIE RITTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 11/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7115 JAHNKE RD
RICHMOND VA
23225-4017
US

IV. Provider business mailing address

417 N 11TH ST FL 6 PO BOX 980631
RICHMOND VA
23298-5002
US

V. Phone/Fax

Practice location:
  • Phone: 804-228-6727
  • Fax: 804-228-6730
Mailing address:
  • Phone: 804-828-9165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number0101237107
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberC10007774
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME128400
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: