James T Ryan D O PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

510106838 Issued in MI

Legal business name

JAMES T RYAN D O PLLC

Doing business as

RYAN FAMILY PRACTICE

Practice address

300 S Rath Ave
Suite 202
Ludington, MI 49431-3003

Phone

(231) 425-4447

Fax

(231) 425-4401

NPI assigned

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. James T Ryan, D.ONPI 1437271996

Title

Physican, Sole MBR

Phone

(231) 425-4447

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RYAN FAMILY PRACTICE Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Thomas Ryan, D.O.

  • Family Medicine Physician
  • Ludington, MI
  • NPI 1437271996
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1336557271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S RATH AVE",
            "address_2": "SUITE 202",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494313003",
            "telephone_number": "231-425-4447",
            "fax_number": "231-425-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S RATH AVE",
            "address_2": "SUITE 202",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494313003",
            "telephone_number": "231-425-4447",
            "fax_number": "231-425-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES T RYAN D O PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICAN, SOLE MBR",
        "authorized_official_telephone_number": "231-425-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "510106838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M19520029",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RYAN FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Interim Associates
• Internal Medicine Associates of Ludington, PC
• Hailey Jackson, LLBSW
• Deborah Ann Jacob-Johnson, LPC
• Amber Jaeb, RN
• Kimberly Janicki
• Ella Jarvis
• Marie Agnes Jensen, LMSW
• Michael Earl Jeruzal Jr., LMSW, SSW
• Lanora Kay Jewett

• Clinic/Center in Ludington, MI
• Providers in Ludington, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.