TIMOTHY J RYAN NPI 1205826393

NPI Information

NPI: 1205826393
Provider Name: TIMOTHY J RYAN
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6 W MILL ST
MEDFIELD, MA
ZIP 02052
Phone: (508) 359-7229
Get Directions

Timothy J Ryan is a podiatrist in Medfield, MA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Timothy J Ryan NPI is 1205826393. 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:

6 W MILL ST
MEDFIELD, MA
ZIP 02052-507
Phone: (508) 359-7229
Fax: (508) 359-5363

The NPI 1205826393 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).

The enumeration date for this NPI number is 10/28/2005 and was last updated on 11/9/2010.

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	213E00000X	Podiatrist		1813	MASSACHUSETTS	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	001813	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
2	2704474	OTHER	MASSACHUSETTS	UNITED HEALTH CARE
3	0361771	MEDICAID	MASSACHUSETTS
4	Y70835	MEDICARE PIN	MASSACHUSETTS
5	T19310	MEDICARE UPIN
6	0002379	OTHER	MASSACHUSETTS	NEIGHBORHOOD HEALTH PLAN
7	480004926	MEDICARE PIN	MASSACHUSETTS
8	6240790001	MEDICARE NSC	MASSACHUSETTS
9	33218	OTHER	MASSACHUSETTS	HARVARD PILGRIM HEALTH
10	RYY70835	OTHER	MASSACHUSETTS	BLUE SHEILD OF MA
11	S026486	OTHER	MASSACHUSETTS	CHAMPUS

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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