Active NPI
Amanda M Ryden, MD
- Emergency Medicine Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036143926
- Practice address
- 405 W Jackson St
Carbondale, IL 62901-1462 - Phone
- (618) 549-0721
- Fax
- (618) 457-0469
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 37787 | KY | |
| Emergency Medicine Physician | 207P00000X | 42040 | TN | |
| Emergency Medicine Physician | 207P00000X | 036143926 | IL | Primary |
Addresses
Primary practice location
405 W Jackson St
Carbondale, IL 62901-1462
Mailing address
PO Box 1467
Indianapolis, IN 46206-1467
Phone (618) 457-5200
Other practice location 1
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
Other practice location 2
201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200445280 | Medicaid | IN | |
| 64062599 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11701 Bluegrass Pkwy
Suite 100
Louisville, KY 40299-2302
Phone (502) 928-4100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036143926 | IL | MD | Emergency Medicine Physician |
| 37787 | KY | MD | Emergency Medicine Physician |
| 42040 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Middle Tennessee Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| T M Carr MD PC | Emergency Medicine | Current | Accepting new patients |
| Solomon Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Elizabethtown Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Medical Observation Services LLC | Emergency Medicine | Past | Accepting new patients |
| SSM Health Care St. Louis | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians of Hopkinsville PLLC | Emergency Medicine | Past | Accepting new patients |
| Tennessee Em-I Medical Services PC | Past | Accepting new patients | |
| Hopkinsville Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| TN-I Medical Services PC | Past | Accepting new patients | |
| Emergency Physicians of Montgomery County, PLLC | Emergency Medicine | Past | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| Mercy Hospital South | Emergency Medicine | Past | Accepting new patients |
| Ehra Medical Services of Tennessee PC | Emergency Medicine | Past | Accepting new patients |
| Cane Ridge Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
5150 Airline Rd
Arlington, TN 38002
Phone (865) 985-7047
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253
2000 Church St
Nashville, TN 37236
Phone (615) 284-4672
520 W Main St
Smithville, TN 37166
Phone (615) 215-5000
200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000
1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1194758979
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
-
- Emergency Medicine Physician
- Smyrna, TN
- NPI 1275815433
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1346531613
-
- Emergency Medicine Physician
- Elizabethtown, KY
- NPI 1528003316
-
- Emergency Medicine Physician
- Hopkinsville, KY
- NPI 1497951388
-
- Emergency Medicine Physician
- Clarksville, TN
- NPI 1336166388
-
- Emergency Medicine Physician
- Hopkinsville, KY
- NPI 1033497573
-
- Emergency Medicine Physician
- Cookeville, TN
- NPI 1669734877
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1033223359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1467",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061467",
"telephone_number": "618-457-5200",
"fax_number": "618-529-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W JACKSON ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011462",
"telephone_number": "618-549-0721",
"fax_number": "618-457-0469"
}
],
"practiceLocations": [
{
"address_1": "2 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663333",
"country_code": "US",
"telephone_number": "618-684-3156",
"fax_number": "618-529-0524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S 14th St",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483631",
"country_code": "US",
"telephone_number": "618-942-2171",
"fax_number": "618-988-6186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYDEN",
"first_name": "AMANDA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "37787",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "42040",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036143926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200445280",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64062599",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.