Lisa Anne Ryan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2007010576 Issued in MO

Practice address

226 S Woods Mill Rd
Ste 36W
Chesterfield, MO 63017-3662

Phone

(314) 453-9666

Fax

(314) 453-9895

NPI assigned

Aug 21, 2007

Last updated

Apr 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

University of Nebraska College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wuca - Woodsmill LLC

  dba WUCA - Woodsmill Pediatrics, LLC

  • Multi-Specialty Clinic/Center
  • Chesterfield, MO
  • NPI 1023561156
  Medicare reassignment NPD
• Woods Mill Pediatric and Adolescent Medicine, LLC

  • Pediatrics Physician
  • Chesterfield, MO
  • NPI 1538374384
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1215120589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412041",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742041",
            "telephone_number": "314-453-9666",
            "fax_number": "314-453-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "STE 36W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-453-9666",
            "fax_number": "314-453-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2007010576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209458504",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "226 S Woods Mill Rd",
            "address_2": "STE 36W",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630173662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taedra Marie Rutlin, MA PLPC
• Joseph F. Ruwitch Jr., M.D.
• Cindy Ruzi
• Thomas J Ruziska
• Janet Ruzycki, M.D.
• Michael H Ryan, MD
• Dennis Lawrence Ryll, M.D.
• S and L Drugs Inc (Kaye Pharmacy)
• Kelsey Sack
• Floyd Skip Saderlund, D.C.

• Pediatrics Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.