Paul Edward Ritenour (NPI# 1598726028, PAC ID# 9739156563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1598726028 |
| PAC ID by PECOS | 9739156563 |
| Professional Enrollment ID | I20051216000194 |
| Full Name | Paul Edward Ritenour |
| Address |
43 E 4th St Fourth and Diamond Med Clinic Mansfield OH 44902-1303 |
| Gender | M |
| Credential | DO |
| Medical School | COLLEGE OF OSTEO OF THE PACIFIC |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360118 | OHIOHEALTH MANSFIELD HOSPITAL |
| 361325 | GALION COMMUNITY HOSPITAL |
| 360365 | AVITA ONTARIO |
| 361316 | BUCYRUS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 43 E 4th St, Fourth and Diamond Med Clinic, Mansfield, OH 44902-1303 | ||
| 43 E 4th St, Mansfield, OH 44902-1303 |
| Street Address |
43 E 4TH ST FOURTH AND DIAMOND MED CLINIC |
| City | MANSFIELD |
| State | OH |
| Zip | 44902-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Bowman | Nurse Practitioner | Third Street Community Clinic, Inc | 200 Park Ave W, Mansfield, OH 44902-1608 |
| Joseph Bocka | Emergency Medicine | Third Street Community Clinic, Inc | 200 Park Ave W, Mansfield, OH 44902-1608 |
| Kevin Lloyd Brown | Optometry | 70 Park Ave W, Mansfield, OH 44902-1675 |
| City | MANSFIELD |
| Zip Code | 44902 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MANSFIELD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Paul Edward Ritenour.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.