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GORDON A.RYANMD PC NPI 1891970893


NPI Information

NPI: 1891970893
Provider Name: GORDON A.RYAN,MD PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
400 GRESHAM DR
SUITE 411
NORFOLK, VA
ZIP 23507
Phone: (757) 624-9433
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GORDON A.RYAN,MD PC is a specialist in Norfolk, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GORDON A.RYAN,MD PC NPI is 1891970893. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 GRESHAM DR
SUITE 411
NORFOLK, VA
ZIP 23507-901
Phone: (757) 624-9433
Fax: (757) 624-6884

The provider's authorized official is Mildred R Cole .
The authorized official title is Office Mgr. and has the following contact phone number (757) 624-9433.

The enumeration date for this NPI number is 1/8/2008 and was last updated on 1/8/2008.


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
1174400000XSpecialist0101034688VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C08474MEDICARE PIN
2C47264MEDICARE UPIN
3005878900MEDICAIDVIRGINIA

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.