Organization Active NPI

Yvette McCrea-Ryan, MD, PA

  • Specialist
  • Riverview, FL
National Provider Identifier
1043451792
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0073833 Issued in FL
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.