Individual provider Active NPI

Elizabeth C Ritchie, M.D.

  • Pediatrics Physician
  • Poteau, OK
National Provider Identifier
1962679142
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01067543A Issued in IN
Practice address
109 Kerr Ave
Poteau, OK 74953-5270
Phone
(918) 649-1186
Fax
(918) 649-1196
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01067543A IN Primary

Addresses

Primary practice location

109 Kerr Ave
Poteau, OK 74953-5270

Mailing address

109 Kerr Ave
Poteau, OK 74953-5270
Phone (918) 649-1186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151114000021 TX Practitioner - Pediatric Medicine 2062681885 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Sep 30, 2015 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Sep 30, 2015 Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Locations

109 Kerr Ave
Poteau, OK 74953
Phone (918) 647-1199

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

Interoperability endpoints

  • Direct secure messaging: eritchie19594@choctawnation.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1962679142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 KERR AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749535270",
            "telephone_number": "918-649-1186",
            "fax_number": "918-649-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 KERR AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749535270",
            "telephone_number": "918-649-1186",
            "fax_number": "918-649-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHIE",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01067543A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.