Active NPI
Jack Lendon Ritter, M. D.
- Specialist
- The Woodlands, TX
National Provider Identifier
1366440489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E4637
- Practice address
- 8850 Six Pines Dr.
Suite 100
The Woodlands, TX 77380-2680 - Phone
- (281) 367-6836
- Fax
- (281) 681-5187
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E4637 | TX | Primary |
Addresses
Primary practice location
8850 Six Pines Dr.
Suite 100
The Woodlands, TX 77380-2680
Mailing address
8850 Six Pines Dr.
Suite 100
The Woodlands, TX 77380-2680
Phone (281) 367-6836
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2816989-024 | Other | TX | CIGNA |
| 3231590 | Other | TX | AETNA HMO |
| 2816989-023 | Other | TX | CIGNA |
| 2816989-025 | Other | TX | CIGNA |
| 34239 | Other | TX | AMERICAID |
| 4211340 | Other | TX | AETNA PPO |
| 8J1222 | Other | TX | BCBS PROVIDER # |
| P00064361 | Other | TX | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1366440489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8850 SIX PINES DR.",
"address_2": "SUITE 100",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802680",
"telephone_number": "281-367-6836",
"fax_number": "281-681-5187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8850 SIX PINES DR.",
"address_2": "SUITE 100",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802680",
"telephone_number": "281-367-6836",
"fax_number": "281-681-5187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITTER",
"first_name": "JACK",
"middle_name": "LENDON",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "E4637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2816989-024",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3231590",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2816989-023",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2816989-025",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAID",
"identifier": "34239",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4211340",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "8J1222",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00064361",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.