Ron Ryan MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0062417 Issued in FL

Legal business name

RON RYAN MD PA

Practice address

1917 Knox McRae Dr
Titusville, FL 32780-5360

Phone

(321) 383-1332

Fax

(321) 383-1243

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

Ronald Christopher Ryan, M.D.

Title

President

Phone

(321) 383-1332

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ronald Christopher Ryan Other name

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1164660221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 KNOX MCRAE DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805360",
            "telephone_number": "321-383-1332",
            "fax_number": "321-383-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 KNOX MCRAE DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805360",
            "telephone_number": "321-383-1332",
            "fax_number": "321-383-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON RYAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-383-1332",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4171",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0062417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2ND OFFICE LOCATION",
            "identifier": "18692A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald Christopher Ryan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Blanca N. Rodriguez, M.S.
• Elizabeth Rodriguez
• Kendra Rogers
• Heather Ashley Rohaus, LMHC, MS
• Joseph E Rojas, M.D.
• Robert Glenn Rosen, DPM
• Shane Rosonina, DPT, PT
• Jenna Nicole Ross
• Andrew Joseph Ruffolo, RPH
• William Rylander, M.D.

• Ophthalmology Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.