Provider Type Icon

RYAN THREADGILL MD NPI 1053852400


NPI Information

NPI: 1053852400
Provider Name: RYAN THREADGILL, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 350-7270
Get Directions

Ryan Threadgill, MD is a critical care medicine internal medicine in Raleigh, NC. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Ryan Threadgill, MD NPI is 1053852400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610-231
Phone: (919) 350-7270
Fax: (919) 350-7204

The NPI 1053852400 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 3/18/2017 and was last updated on 10/24/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine202100644NORTH CAROLINANo
2207RP1001XInternal MedicinePulmonary Disease2021-0644NORTH CAROLINANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4207RC0200XInternal MedicineCritical Care Medicine2021-0644NORTH CAROLINAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.