Active NPI
Yvette McCrea-Ryan, MD, PA
- Specialist
- Riverview, FL
National Provider Identifier
1043451792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0073833
- Legal business name
- YVETTE MCCREA-RYAN, MD, PA
- Practice address
- 13057 Summerfield Square Dr
Riverview, FL 33578-7402 - Phone
- (863) 471-1413
- Fax
- (863) 471-1416
- NPI assigned
- Mar 10, 2009
- Last updated
- Mar 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yvette M McCrea-Ryan, MD
- Title
- Owner
- Phone
- (863) 471-1413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0073833 | FL | Primary |
Addresses
Primary practice location
13057 Summerfield Square Dr
Riverview, FL 33578-7402
Mailing address
PO Box 3702
Sebring, FL 33871-3702
Phone (863) 471-1413
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236643200000",
"number": "1043451792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3702",
"city": "SEBRING",
"state": "FL",
"postal_code": "338713702",
"telephone_number": "863-471-1413",
"fax_number": "863-471-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13057 SUMMERFIELD SQUARE DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335787402",
"telephone_number": "863-471-1413",
"fax_number": "863-471-1416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YVETTE MCCREA-RYAN, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-10",
"last_updated": "2009-03-10",
"status": "A",
"authorized_official_last_name": "MCCREA-RYAN",
"authorized_official_first_name": "YVETTE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-471-1413",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0073833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.