DR. JACQUELYN ANN RYAN MD NPI 1093744468

NPI Information

NPI: 1093744468
Provider Name: DR. JACQUELYN ANN RYAN, MD
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
Phone: (509) 434-7602
Get Directions

DR. Jacquelyn Ann Ryan, MD is a clinical cardiac electrophysiology internal medicine in Spokane, WA. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Jacquelyn Ann Ryan, MD NPI is 1093744468. 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:

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205-185
Phone: (509) 434-7602

The NPI 1093744468 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 6/30/2006 and was last updated on 7/24/2007.

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	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	MD40351	WASHINGTON	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	0151249	OTHER	WASHINGTON	LABOR & INDUSTRIES
2	000334	MEDICAID	OREGON
3	F69611	MEDICARE UPIN	WASHINGTON
4	352261	MEDICAID	MONTANA
5	AB23838	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
6	8284515	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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