Organization Active NPI

James M Rynerson, MD, PSC

  • Ophthalmology Physician
  • Glasgow, KY
National Provider Identifier
1164578175
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
28184 Issued in KY
Legal business name
JAMES M RYNERSON, MD, PSC
Practice address
405 S L Rogers Wells Blvd
Glasgow, KY 42141-1725
Phone
(270) 651-0439
Fax
(270) 651-3991
NPI assigned
Jan 25, 2007
Last updated
Dec 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. James M Rynerson, MDNPI 1740285832
Title
President
Phone
(270) 651-0439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 28184 KY Primary

Addresses

Primary practice location

405 S L Rogers Wells Blvd
Glasgow, KY 42141-1725

Mailing address

405 S L Rogers Wells Blvd
Glasgow, KY 42141-1725
Phone (270) 651-0439

Other identifiers 1

IdentifierTypeStateIssuer
65939381MedicaidKY

National Provider Directory

National Provider Directory

Locations

101 State Ave
Ste D
Glasgow, KY 42141
Phone (270) 393-0005

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1164578175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411725",
            "telephone_number": "270-651-0439",
            "fax_number": "270-651-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411725",
            "telephone_number": "270-651-0439",
            "fax_number": "270-651-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M RYNERSON, MD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "RYNERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-651-0439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "28184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65939381",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.