NPIMap

Organization Active NPI

Ryan McWhorter MD LLC

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1205861200
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19380 Issued in AL
Legal business name
RYAN MCWHORTER MD LLC
Practice address
239 Mitylene Park Dr
Montgomery, AL 36117-3547
Phone
(334) 819-8190
Fax
(334) 819-8195
NPI assigned
Jul 11, 2006
Last updated
Mar 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
William Ryan McWhorter, MDNPI 1265467237
Title
MD/Owner
Phone
(334) 819-8190

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
Family Medicine Physician 207Q00000X 19380 AL Primary

Addresses

Primary practice location

239 Mitylene Park Dr
Montgomery, AL 36117-3547

Mailing address

239 Mitylene Park Dr
Montgomery, AL 36117-3547
Phone (334) 819-8190

Other identifiers 2

IdentifierTypeStateIssuer
529929380MedicaidAL
510-04097OtherALPMD

National Provider Directory

National Provider Directory

Locations

239 Mitylene Park Dr
Montgomery, AL 36117
Phone (334) 603-6626

7040 Sydney Curv
Montgomery, AL 36117
Phone (334) 819-8190

Practitioners & affiliated clinicians

Practitioners 2

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1205861200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 MITYLENE PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173547",
            "telephone_number": "334-819-8190",
            "fax_number": "334-819-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MITYLENE PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173547",
            "telephone_number": "334-819-8190",
            "fax_number": "334-819-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN MCWHORTER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "MCWHORTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "334-819-8190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "19380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529929380",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMD",
            "identifier": "510-04097",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.