Individual provider Active NPI

Eric Ray Rittenhouse, MD

  • Obstetrics & Gynecology Physician
  • Honesdale, PA
National Provider Identifier
1376520593
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD050588L Issued in PA
Practice address
626 Park St
Honesdale, PA 18431-1446
Phone
(570) 253-3005
Fax
(570) 253-0181
NPI assigned
Dec 29, 2005
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD050588L PA Primary
Obstetrics & Gynecology Physician 207V00000X 050588L PA

Addresses

Primary practice location

626 Park St
Honesdale, PA 18431-1446

Mailing address

601 Park St
Honesdale, PA 18431-1445
Phone (570) 253-8226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000757 PA Practitioner - Obstetrics/Gynecology 0648223172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

626 Park St
Honesdale, PA 18431-1446
Phone (570) 253-3005

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050588LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Community Health Centers CurrentSince Nov 20, 2018 Accepting new patients
Wayne Memorial Community Health Centers Obstetrics & Gynecology CurrentSince Nov 20, 2018 Accepting new patients
Wayne Memorial Hospital Past Accepting new patients

Locations

110 Park St
Honesdale, PA 18431
Phone (570) 253-3005

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

626 Park St
Honesdale, PA 18431
Phone (570) 253-1720

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1376520593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARK ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311445",
            "telephone_number": "570-253-8226",
            "fax_number": "570-253-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 PARK ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311446",
            "telephone_number": "570-253-3005",
            "fax_number": "570-253-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTENHOUSE",
        "first_name": "ERIC",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2024-10-21",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD050588L",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "050588L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.