Active NPI
Sally Elaine Ryden, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Gainesville, FL
National Provider Identifier
1295760254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME29117
- Practice address
- 6500 W Newberry Rd
Gainesville, FL 32605-4309 - Phone
- (352) 333-3495
- Fax
- (352) 333-4284
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME29117 | FL | Primary |
Addresses
Primary practice location
6500 W Newberry Rd
Gainesville, FL 32605-4309
Mailing address
PO Box 147050
PMB 509
Gainesville, FL 32614-7050
Phone (352) 375-0166
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 |
|---|---|---|---|
| ME29117 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295760254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 147050",
"address_2": "PMB 509",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326147050",
"telephone_number": "352-375-0166",
"fax_number": "352-375-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 W NEWBERRY RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054309",
"telephone_number": "352-333-3495",
"fax_number": "352-333-4284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDEN",
"first_name": "SALLY",
"middle_name": "ELAINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME29117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- 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.