Organization Active NPI

Ralph S Ryback MD LLC

  • Clinical Neuropsychologist
  • Naples, FL
National Provider Identifier
1114224292
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
ME92563 Issued in FL
Legal business name
RALPH S RYBACK MD LLC
Practice address
1415 Panther LN
Ste 248
Naples, FL 34109-7874
Phone
(239) 213-0012
NPI assigned
Feb 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Dr. Ralph S Ryback, MD
Title
Owner
Phone
(239) 213-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X ME92563 FL Primary

Addresses

Primary practice location

1415 Panther LN
Ste 248
Naples, FL 34109-7874

Mailing address

13406 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-5075

National Provider Directory

National Provider Directory

Locations

1415 Panther Ln
Ste 248
Naples, FL 34109
Phone (239) 464-6066

1415 Panther Ln
#248
Naples, FL 34109
Phone (239) 213-0012

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1114224292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13406 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "352-597-5075",
            "fax_number": "352-597-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PANTHER LN",
            "address_2": "STE 248",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097874",
            "telephone_number": "239-213-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH S RYBACK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "RYBACK",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-213-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "ME92563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.