Active NPI
Theodore F Ritzer, MD
- Cardiovascular Disease Physician
- Clarksville, TN
National Provider Identifier
1942291372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 21394
- Practice address
- 647 Dunlop LN
Ste 101
Clarksville, TN 37040-5165 - Phone
- (931) 502-3750
- Fax
- (931) 502-3755
- NPI assigned
- Nov 3, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 21394 | TN | Primary |
Addresses
Primary practice location
647 Dunlop LN
Ste 101
Clarksville, TN 37040-5165
Mailing address
647 Dunlop LN
Suite 203
Clarksville, TN 37040-5165
Phone (931) 502-3750
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3060334 | Other | TN | MEDICARE ID - TYPE UNSPECIFIED |
| 3060335 | Medicaid | TN | |
| 4185003 | Other | TN | BLUE CROSS BLUE SHIELD OF TN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Heart and Lung Institute PLC | Past | Accepting new patients | |
| Clarksville Physician Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Dover, TN
- NPI 1992077077
-
- Specialist
- Clarksville, TN
- NPI 1699802371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1942291372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 DUNLOP LN",
"address_2": "SUITE 203",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405165",
"telephone_number": "931-502-3750",
"fax_number": "931-502-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 DUNLOP LN",
"address_2": "STE 101",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405165",
"telephone_number": "931-502-3750",
"fax_number": "931-502-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITZER",
"first_name": "THEODORE",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "21394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID - TYPE UNSPECIFIED",
"identifier": "3060334",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3060335",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TN",
"identifier": "4185003",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.