MEDICARE: MERRILL RITTER MD

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	207X00000X	Orthopaedic Surgery Physician	01020175	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00000018855	OTHER	IN	BCBS
2	1080620	OTHER	IN	UHC
3	5525035	OTHER	IN	AETNA
4	006726	OTHER	IN	SIHO
5	4178250001	OTHER	IN	DME

General Provider Information

NPI Number	:	1588634307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERRILL RITTER MD

Provider Business Mailing Address
First Line	:	1199 HADLEY RD
Second Line	:
City	:	MOORESVILLE
State	:	IN
Zip	:	46158-1788
Country	:	US
Telephone Number	:	317-831-2273
Fax Number	:	317-831-9347

Provider Business Practice Location Address
First Line	:	1199 HADLEY RD
Second Line	:
City	:	MOORESVILLE
State	:	IN
Zip	:	46158-1788
Country	:	US
Telephone Number	:	317-831-2273
Fax Number	:	317-831-9347

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	03/07/2008

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Directions to “ MERRILL RITTER MD” Practice Location

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