Shawn Ryan, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

35.093747 Issued in OH

Practice address

446 Morgan St
Cincinnati, OH 45206

Phone

(138) 347-0635

Fax

(513) 873-1567

NPI assigned

May 30, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vanguard Medical

  • Emergency Medicine Physician
  • Cincinnati, OH
  • NPI 1457463051
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1073714812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 MORGAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062348",
            "telephone_number": "513-834-7063",
            "fax_number": "513-873-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 MORGAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45206",
            "telephone_number": "138-347-0635",
            "fax_number": "513-873-1567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2645 N Laurel Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407419075",
            "country_code": "US",
            "telephone_number": "502-749-6249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1154A Lexington Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249330",
            "country_code": "US",
            "telephone_number": "502-868-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "599 Freedom Park Dr",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410175130",
            "country_code": "US",
            "telephone_number": "859-331-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9702 Stonestreet Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402726812",
            "country_code": "US",
            "telephone_number": "502-749-6249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SHAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "KY",
            "license": "43226",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35093747",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.093747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2993944",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100112350",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall Ryan, RN
• Richard Ryan, MD
• Robert William Ryan, D.D.S.
• Sean Ryan
• Shannon Marie Ryan, LSW
• Stephanie Ryan, MA-CCC/SLP
• Thomas D Ryan, MD, PHD
• Vanessa R Ryan
• Tiffany Mary Janina Rybak, PHD
• Irina Rybalsky, MD

• Addiction Medicine (Internal Medicine) Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Addiction Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.