DR. ELIZABETH BOGEL RYAN MD NPI 1053644179

NPI Information

NPI: 1053644179
Provider Name: DR. ELIZABETH BOGEL RYAN, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
28601 CHAGRIN BLVD STE 200
WOODMERE, OH
ZIP 44122
Phone: (888) 288-4715
Get Directions

DR. Elizabeth Bogel Ryan, MD is an addiction medicine family medicine in Woodmere, OH. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Elizabeth Bogel Ryan, MD NPI is 1053644179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28601 CHAGRIN BLVD STE 200
WOODMERE, OH
ZIP 44122-556
Phone: (888) 288-4715
Fax: (833) 260-2594

The NPI 1053644179 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/8/2009 and was last updated on 3/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		272489	NEW YORK	No
2	207QA0401X	Family Medicine	Addiction Medicine	DR.0070137	COLORADO	No
3	207QA0401X	Family Medicine	Addiction Medicine	35.145681	OHIO	No
4	207QA0401X	Family Medicine	Addiction Medicine	272489	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03802068	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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