Organization Active NPI

John D Ritrosky MD PA

  • Specialist
  • Fort Myers, FL
National Provider Identifier
1639318322
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME63203 Issued in FL
Legal business name
JOHN D RITROSKY MD PA
Practice address
13981 McGregor Blvd Ste 101
Fort Myers, FL 33919-6130
Phone
(239) 275-8898
Fax
(239) 275-9933
NPI assigned
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Dr. John D Ritrosky, MDNPI 1568578151
Title
President
Phone
(239) 275-8898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME63203 FL Primary

Addresses

Primary practice location

13981 McGregor Blvd Ste 101
Fort Myers, FL 33919-6130

Mailing address

13981 McGregor Blvd Ste 101
Fort Myers, FL 33919-6130
Phone (239) 275-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090505000158 FL Part B Supplier - Clinic/Group Practice 9133277999 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

13981 McGregor Blvd
Ste 101
Fort Myers, FL 33919
Phone (239) 275-8898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1639318322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13981 MCGREGOR BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339196130",
            "telephone_number": "239-275-8898",
            "fax_number": "239-275-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13981 MCGREGOR BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339196130",
            "telephone_number": "239-275-8898",
            "fax_number": "239-275-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D RITROSKY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "RITROSKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-275-8898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME63203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.