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NPI Code Detail

MEDICARE: MARK J RITTER MD

MEDICARE: MARK J 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
1207X00000XOrthopaedic Surgery PhysicianA91405CA
2207X00000XOrthopaedic Surgery Physician01062121AIN
3207XX0801XOrthopaedic Trauma Physician01062121AIN
4207XX0005XSports Medicine (Orthopaedic Surgery) Physician01062121AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770585911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK J RITTER MD
Provider Business Mailing Address
First Line : 10767 ILLINOIS ST STE 3000
Second Line :
City : CARMEL
State : IN
Zip : 46032-8972
Country : US
Telephone Number : 317-817-1200
Fax Number : 317-817-1220
Provider Business Practice Location Address
First Line : 10767 ILLINOIS ST STE 3000
Second Line :
City : CARMEL
State : IN
Zip : 46032-8972
Country : US
Telephone Number : 317-817-1200
Fax Number : 317-817-1220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 06/08/2023

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