NPIMap

Individual provider Active NPI

Jessica Lynn Ryan, M.D.

  • Surgery Physician
  • Manchester, NH
National Provider Identifier
1326277740
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17321 Issued in NH
Practice address
185 Queen City Ave
Elliot Breast Health Center
Manchester, NH 03101-7121
Phone
(603) 668-3067
NPI assigned
Jul 7, 2009
Last updated
Oct 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 240861 MA
Surgery Physician 208600000X 17321 NH Primary

Addresses

Primary practice location

185 Queen City Ave
Elliot Breast Health Center
Manchester, NH 03101-7121

Mailing address

185 Queen City Ave
Elliot Breast Health Center
Manchester, NH 03101-7121
Phone (603) 668-3067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151207001840 NH Practitioner - General SurgeryPractitioner - Surgical Oncology 1850691254 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

9 Washington PL
Suite 203
Bedford, NH 03110-6750
Phone (603) 663-5270

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
240861MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince May 31, 2018 Accepting new patients
Appledore Medical Group, Inc. CurrentSince Feb 8, 2025 Accepting new patients
Catholic Medical Center CurrentSince Aug 13, 2018 Accepting new patients
Catholic Medical Center CurrentSince May 31, 2018 Accepting new patients
Appledore Medical Group, Inc CurrentSince Feb 8, 2025 Accepting new patients
Catholic Medical Center CurrentSince Aug 1, 2018 Accepting new patients

Locations

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

9 Washington Pl
Ste 203
Bedford, NH 03110
Phone (603) 656-0326

9 Washington Pl
Ste 204
Bedford, NH 03110
Phone (603) 624-4450

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

195 McGregor St
Ste 310
Manchester, NH 03102

87 McGregor St
Ste 3100
Manchester, NH 03102
Phone (603) 627-1887

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1326277740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVE",
            "address_2": "ELLIOT BREAST HEALTH CENTER",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031017121",
            "telephone_number": "603-668-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVE",
            "address_2": "ELLIOT BREAST HEALTH CENTER",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031017121",
            "telephone_number": "603-668-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "240861",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "17321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.