RONALD GARVIN RYAN MD NPI 1407885510

NPI Information

NPI: 1407885510
Provider Name: RONALD GARVIN RYAN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
5435 PROSPERITY CHURCH RD
SUITE 1100
CHARLOTTE, NC
ZIP 28269
Phone: (704) 863-9930
Get Directions

Ronald Garvin Ryan, MD is a family medicine in Charlotte, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Ronald Garvin Ryan, MD NPI is 1407885510. 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:

5435 PROSPERITY CHURCH RD
SUITE 1100
CHARLOTTE, NC
ZIP 28269-134
Phone: (704) 863-9930
Fax: (704) 863-9966

The enumeration date for this NPI number is 7/1/2006 and was last updated on 7/12/2007.

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	207Q00000X	Family Medicine		ME0072151	FLORIDA	No
2	207Q00000X	Family Medicine			NORTH CAROLINA	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	G78781	MEDICARE UPIN	FLORIDA
2	2059567	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	CHUC PROSPERITY CROSSING
3	5905095	MEDICAID	NORTH CAROLINA
4	2059567A	MEDICARE PIN	NORTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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