Timothy Mark Rittenour, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

33334 Issued in MN

Practice address

309 Labree Ave N Ste 8
Thief River Falls, MN 56701-2020

Phone

(218) 683-5118

Fax

(218) 683-5228

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kootenai Health, Inc.

  • Psychiatry Physician
  • Coeur d'Alene, ID
  • NPI 1174661151
  NPD (past)
• St Francis Medical Center

  dba Chi St Francis Health

  • Rural Health Clinic/Center
  • Milnor, ND
  • NPI 1235215252
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104881572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 LABREE AVE N STE 8",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012020",
            "telephone_number": "218-683-5118",
            "fax_number": "218-683-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 LABREE AVE N STE 8",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012020",
            "telephone_number": "218-683-5118",
            "fax_number": "218-683-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTENOUR",
        "first_name": "TIMOTHY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "33334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Rasmussen, CNP
• Red Lake Band of Chippewa Indians (Red Lake Emergency Response Program (TRF))
• Myron Brook Redd, MD
• Rene Mooney PSYD PLLC (Storybook Wellness Center)
• Rise Adult Day Services
• Riverview Healthcare Association (Riverview Recovery Center)
• Riverview Healthcare Association
• Ronco Lifts Inc (Ronco Lifts and Rehab Products)
• Kim J Rosendahl, PT
• Sara L Rosendahl, PAC

• General Practice Physician in Thief River Falls, MN
• Providers in Thief River Falls, MN by specialty
• General Practice Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.