Active NPI
Sheila Ellen Ryan, M.D.
- Otolaryngology Physician
- Durham, NC
National Provider Identifier
1316924384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 9701862
- Practice address
- 2609 N Duke St
Suite 801
Durham, NC 27704-3048 - Phone
- (919) 220-2020
- Fax
- (919) 220-9257
- NPI assigned
- Dec 29, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 9701862 | NC | Primary |
Addresses
Primary practice location
2609 N Duke St
Suite 801
Durham, NC 27704-3048
Mailing address
783 Doctors CT Ste C
Roxboro, NC 27573-4575
Phone (336) 597-9200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891086P | Medicaid | NC | |
| ENT32 | Other | NC | PRIMA |
| 1086P | Other | NC | BCBS |
| 8436056 | Other | NC | CIGNA |
| 1000373 | Other | NC | UHC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- sryan48775@direct.medicine.duke.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293062400000",
"number": "1316924384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "783 DOCTORS CT STE C",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734575",
"telephone_number": "336-597-9200",
"fax_number": "336-597-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 N DUKE ST",
"address_2": "SUITE 801",
"city": "DURHAM",
"state": "NC",
"postal_code": "277043048",
"telephone_number": "919-220-2020",
"fax_number": "919-220-9257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "SHEILA",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2010-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "9701862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891086P",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMA",
"identifier": "ENT32",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1086P",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8436056",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1000373",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.