Individual provider Active NPI

Russell George Reitinger, M.D.

  • Obstetrics & Gynecology Physician
  • Longmont, CO
National Provider Identifier
1750467213
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28154 Issued in CO
Practice address
2030 Mountain View Avenue
Suite 400
Longmont, CO 80501-3182
Phone
(303) 702-5910
Fax
(303) 702-5935
NPI assigned
Oct 27, 2006
Last updated
Jan 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28154 CO Primary

Addresses

Primary practice location

2030 Mountain View Avenue
Suite 400
Longmont, CO 80501-3182

Mailing address

2030 Mountain View Ave
Suite 400
Longmont, CO 80501-3182
Phone (303) 702-5910

Other identifiers 1

IdentifierTypeStateIssuer
01281542MedicaidCO

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28154COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reitinger & Barrett, P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1750467213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 400",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013182",
            "telephone_number": "303-702-5910",
            "fax_number": "303-702-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVENUE",
            "address_2": "SUITE 400",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013182",
            "telephone_number": "303-702-5910",
            "fax_number": "303-702-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITINGER",
        "first_name": "RUSSELL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "28154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01281542",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.