Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 0101043891 | VA |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD.208039 | LA |
N | 207RI0011X | Interventional Cardiology | 0101043891 | VA |
N | 207RI0011X | Interventional Cardiology | MD.208039 | LA |
NPI | 1023070711 |
---|---|
Provider Name | James Thomas Rittelmeyer |
First Address | Monroe, LA 71201-5712 |
Second Address | Monroe, LA 71201-5712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 06/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000581564 | WV BLUE SHIELD (01) | |
000875693 | WV BLUE SHIELD GROUP (01) | |
006046401 | (05) | VA |
00656346 | RAILROAD MEDICARE (01) | |
0072165000 | (05) | WV |
053726 | ANTHEM PROFESSIONAL (01) | |
08248200000 | QUAL CHOICE PROFESSIONAL (01) | |
2119650 | MAMSI PROFESSIONAL (01) | |
3810003817 | WV MEDICAID GRP (01) | WV |
44157 | SENTARA PROFESSIONAL (01) | |
533451900 | (05) | MD |
550941600 | MD MEDICAID GRP IN VA (01) | MD |
550941601 | WV MEDICAID GRP IN WV (01) | MD |
9332051 | WV MEDICARE B GROUP (01) | |
9371521 | MEDICARE B GROUP 2/1/07 (01) | WV |
B57456 | (02) | |
C00085 | VA MEDICARE B GROUP (01) | |
RI4100801 | WV MEDICARE B (01) |