Provider Demographics
NPI:1285608901
Name:RITCHIE, JAMES LEWIS (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:LEWIS
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6419
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97708-6419
Mailing Address - Country:US
Mailing Address - Phone:541-388-4333
Mailing Address - Fax:541-388-3446
Practice Address - Street 1:2500 NE NEFF RD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6015
Practice Address - Country:US
Practice Address - Phone:541-388-4333
Practice Address - Fax:541-388-3446
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD23958207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR181655Medicaid
ORR117369Medicare ID - Type Unspecified
ORA05469Medicare UPIN