JIMMY LYNN RYAN M.D. NPI 1508800145

NPI Information

NPI: 1508800145
Provider Name: JIMMY LYNN RYAN, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1288 W 12700 S
RIVERTON, UT
ZIP 84065
Phone: (801) 253-3500
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Jimmy Lynn Ryan, M.D. is a pediatrics in Riverton, UT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Jimmy Lynn Ryan, M.D. NPI is 1508800145. 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:

1288 W 12700 S
RIVERTON, UT
ZIP 84065-794
Phone: (801) 253-3500
Fax: (801) 253-5859

The enumeration date for this NPI number is 6/15/2006 and was last updated on 2/25/2015.

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	208000000X	Pediatrics		172229-1205	UTAH	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	071262	OTHER	UTAH	SELECT HEALTH
2	E30736	MEDICARE UPIN	UTAH
3	870641072RY1	OTHER	UTAH	EDUCATORS MUTUAL
4	QM0000032877	OTHER	UTAH	ALTIUS HEALTH PLANS
5	01WCHKL16	MEDICARE ID-TYPE UNSPECIFIED	UTAH
6	PR00710	OTHER	UTAH	MOLINA HEALTHCARE

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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