DR. RICHARD RETTIG (NPI# 1255334439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255334439 |
| Entity Type | Individual |
| Full Name | DR. RICHARD RETTIG |
| Credential | D.P.M. |
| Practice Address |
1335 W Tabor Rd Ste 206 Philadelphia PA 19141-3040 |
| Practice Telephone | 2159272837 |
| Practice Fax Number | 2159272008 |
| Mailing Telephone | 2159272837 |
| Mailing Fax Number | 2159272008 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2011-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
SC-002203-L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0007644720004 | 05 | |
| PA | RAILROAD MEDICARE | 480001607 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023144029 | Richard H. Rettig | Dentist | 224 S. Main St., Tripoli, IA 50767-0065 | 2007-02-26 |
| Street Address |
1335 W TABOR RD STE 206 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269262 | Pradeep Kumar Sure | Pharmacist | 1335 W Tabor Rd, Philadelphia, PA 19141-3038 | 2020-09-09 |
| 1306244843 | Affordable Dentistry of North Philadelphia | Dentist | 1335 W Tabor Rd, Philadelphia, PA 19141-3038 | 2014-12-16 |
| 1912242827 | Total Health and Rehab Pllc | Chiropractor | 1335 W Tabor Rd, Suite 305, Philadelphia, PA 19141-3038 | 2012-12-04 |
| 1760780175 | Chad Home Health Agency Inc | Home Health | 1335 W Tabor Rd, Suite 210, Philadelphia, PA 19141-3038 | 2011-03-09 |
| 1972838803 | Lady of Fatima Health Services Inc. | Home Health | 1335 W Tabor Rd, Suite 303, Philadelphia, PA 19141-3038 | 2009-10-09 |
| 1689817066 | Chiropractic Trauma & Rehabilitation Center, P.C. | Chiropractor | 1335 W Tabor Rd, Suite 306, Philadelphia, PA 19141-3038 | 2009-04-14 |
| 1881837318 | Gino Zita | Chiropractor | 1335 W Tabor Rd, Suite 306, Philadelphia, PA 19141-3038 | 2009-04-14 |
| 1629217450 | Jonathan Andrew Malucci | Chiropractor | 1335 W Tabor Rd, Suite 304, Philadelphia, PA 19141-3038 | 2009-02-18 |
| 1043455736 | Todd Michael Levine | Chiropractor | 1335 W Tabor Rd, Suite 211, Philadelphia, PA 19141-3038 | 2008-12-09 |
| 1619121936 | Tabor Chiropractic &rehabilitation LLC | Chiropractor | 1335 W Tabor Rd, Suite 306, Philadelphia, PA 19141-3038 | 2008-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720270663 | Barbara A Rosenberg | Podiatrist | 6341 Sylvester St, Philadelphia, PA 19149-2837 | 2007-08-14 |
| 1235186586 | Anne Sonoga | Podiatrist | Dvamc Philadelphia, University & Woodland Avenue, Philadelphia, PA 19104 | 2006-05-30 |
| 1174500722 | Ronald J Small | Podiatrist | 104 W Cheltenham Ave, Philadelphia, PA 19120-1027 | 2005-12-26 |
| 1780066431 | Faramarz Fanaian | Podiatrist | 1304 Rhawn St, Philadelphia, PA 19111-2870 | 2015-06-18 |
| 1174739940 | Northeast Family Foot Care, PC | Podiatrist | 9892 Bustleton Ave, Suite 303, Philadelphia, PA 19115-2184 | 2007-05-16 |
| 1912080722 | Donna Goelzer Myers | Podiatrist | 9892 Bustleton Ave, Suite 303, Philadelphia, PA 19115-2184 | 2006-10-23 |
| 1255349031 | Karen Galli | Podiatrist | 3900 Woodland Ave, Podiatry (112), Philadelphia, PA 19104-4551 | 2006-08-04 |
| 1851316756 | Susan Gamble | Podiatrist | Dvamc Philadelphia, University and Woodland Avenues, Philadelphia, PA 19104 | 2006-07-12 |
| 1679504443 | Leonard Menaker | Podiatrist | 2401 Pennsylvania Ave, Suite#1d5, Philadelphia, PA 19130-3010 | 2006-07-06 |
| 1053368555 | Dr. Ronald Small, D.p.m., P.C. | Podiatrist | 104 W Cheltenham Ave, Philadelphia, PA 19120-1027 | 2006-05-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on DR. RICHARD RETTIG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.