Robert Lawrence Ryan, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R691259 Issued in MS

Practice address

7580 Clarington CV
Southaven, MS 38671-5657

Phone

(662) 349-9136

Fax

(662) 349-0677

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southcrest Anesthesia Services, PLLC

  • Certified Registered Nurse Anesthetist
  • Southaven, MS
  • NPI 1942302617

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official
• Anesthesia Services of Memphis, PLLC

  • Certified Registered Nurse Anesthetist
  • Cordova, TN
  • NPI 1568571610

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Medical Anesthesia Group, PA

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1679527501
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215039979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 PECAN DR",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328023",
            "telephone_number": "662-429-5909",
            "fax_number": "662-349-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 CLARINGTON CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715657",
            "telephone_number": "662-349-9136",
            "fax_number": "662-349-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ROBERT",
        "middle_name": "LAWRENCE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R691259",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000009584",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C00318 CRNA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122694",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Anderson Royals, LPC, NCC, CMHT
• Nathan Rucker, PHARMD
• Spencer Rushing, DO
• Jason Russell
• Kaitlin Alexander Ryan, DPT
• Alex Ryder, MD, PHD
• Akhil Kumar NV Sadhu, MD
• Nouraan Sadiq
• Omar Saeed, MD
• Rosanna B Sagely, FNP

• Certified Registered Nurse Anesthetist in Southaven, MS
• Providers in Southaven, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• 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.