John Gerard Ryan, MD

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

2006028232 Issued in MO

Practice address

Mallinckrodt Institute of Radiology - Barnesjewish Hosp
510 South Kingshighway Blvd.,
Saint Louis, MO 63110

Phone

(314) 533-3161

NPI assigned

Jun 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1184828410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 OLIVE ST",
            "address_2": "SUITE #301",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081808",
            "telephone_number": "314-533-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MALLINCKRODT INSTITUTE OF RADIOLOGY - BARNESJEWISH HOSP",
            "address_2": "510 SOUTH KINGSHIGHWAY BLVD.,",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-533-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JOHN",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MO",
            "license": "2006028232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna B Ruzinova, MD
• Jo-Ellyn M. Ryall, M.D.
• Christopher J Ryan, CAA
• Elizabeth Ryan, LPC
• John Ryan
• Keeley Ferrell Ryan, PA-C
• Marjorie Ryan
• Meaghan Mary Ryan, FNP
• Michael Ryan
• Rachael Anne Ryan, MD

• Body Imaging Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Body Imaging Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.