Active NPI
Lori K. Ryan, M.D. PLLC
- Anesthesiology Physician
- Tempe, AZ
National Provider Identifier
1043679665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25460
- Legal business name
- LORI K. RYAN, M.D. PLLC
- Practice address
- 2421 E Southern Ave
Suite 1
Tempe, AZ 85282-7612 - Phone
- (480) 425-2160
- Fax
- (480) 351-8797
- NPI assigned
- Feb 11, 2016
- 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
- Lori K Ryan, MD
- Title
- Physician
- Phone
- (480) 425-2160
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25460 | AZ | Primary |
Addresses
Primary practice location
2421 E Southern Ave
Suite 1
Tempe, AZ 85282-7612
Mailing address
PO Box 41150
Mesa, AZ 85274-1150
Phone (480) 425-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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.
-
- Anesthesiology Physician
- Tempe, AZ
- NPI 1356301279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455667200000",
"number": "1043679665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41150",
"city": "MESA",
"state": "AZ",
"postal_code": "852741150",
"telephone_number": "480-425-2160",
"fax_number": "480-839-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 E SOUTHERN AVE",
"address_2": "SUITE 1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827612",
"telephone_number": "480-425-2160",
"fax_number": "480-351-8797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORI K. RYAN, M.D. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-11",
"last_updated": "2016-02-17",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "480-425-2160",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "AZ",
"license": "25460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.