Active NPI
Michael Patrick Ranahan, M.D.
- Gynecology Physician
- Saint George, UT
National Provider Identifier
1215212899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- G29351
- Practice address
- 1676 S Agate Cir
Saint George, UT 84790-6109 - Phone
- (925) 998-8441
- NPI assigned
- Oct 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | G29351 | CA | Primary |
Addresses
Primary practice location
1676 S Agate Cir
Saint George, UT 84790-6109
Mailing address
1676 S Agate Cir
Saint George, UT 84790-6109
Phone (925) 998-8441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G29351 | Other | CA | CALIFORNIA MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G29351 | CA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1215212899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1676 S AGATE CIR",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847906109",
"telephone_number": "925-998-8441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1676 S AGATE CIR",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847906109",
"telephone_number": "925-998-8441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANAHAN",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "G29351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MEDICAL BOARD",
"identifier": "G29351",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.