Eugene Grove Ryerson, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME20398 Issued in FL

Practice address

1115 West Call Street
Florida State University College of Medicine
Tallahassee, FL 32306-4300

Phone

(850) 644-2358

Fax

(850) 644-0158

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Florida Medical Practice Plan Inc

  • General Practice Physician
  • Tallahassee, FL
  • NPI 1326386293
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124232723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEST CALL STREET",
            "address_2": "FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323064300",
            "telephone_number": "850-644-2358",
            "fax_number": "850-644-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEST CALL STREET",
            "address_2": "FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323064300",
            "telephone_number": "850-644-2358",
            "fax_number": "850-644-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYERSON",
        "first_name": "EUGENE",
        "middle_name": "GROVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME20398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56759-1",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Roberts Ryals, APRN
• Kelly Ryals
• Kimberley Ann Ryan, LCSW
• Teresa Ryan, PT, DPT
• Kennedy Grace Ryder
• Lindsey Renae Rykard, MS, RDN, LDN
• Christine Ann Rysdyk, LCSW
• S & B Medical Inc
• S K Kotei Consultants LLC
• John Sabin, PA

• Pulmonary Disease Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.