MEDICARE: DR. MICHAEL JOSEPH RITCHEY D.P.M.

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	213E00000X	Podiatrist	36-00-1768-R	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1891774758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JOSEPH RITCHEY D.P.M.

Provider Business Mailing Address
First Line	:	2615 E MAIN ST
Second Line	:
City	:	BEXLEY
State	:	OH
Zip	:	43209-2445
Country	:	US
Telephone Number	:	614-231-7162
Fax Number	:	614-231-3081

Provider Business Practice Location Address
First Line	:	2615 E MAIN ST
Second Line	:
City	:	BEXLEY
State	:	OH
Zip	:	43209-2445
Country	:	US
Telephone Number	:	614-231-7162
Fax Number	:	614-231-3081

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	07/09/2007

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