Individual provider Active NPI

Marilyn Ryan, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Paoli, PA
National Provider Identifier
1386733780
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD025002E Issued in PA
Practice address
21 Industrial Blvd
Suite #21
Paoli, PA 19301-1610
Phone
(610) 251-0300
Fax
(610) 251-0304
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD025002E PA Primary

Addresses

Primary practice location

21 Industrial Blvd
Suite #21
Paoli, PA 19301-1610

Mailing address

21 Industrial Blvd
Suite #21
Paoli, PA 19301-1610
Phone (610) 251-0300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000951 PA Practitioner - Endocrinology 6305896416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
State University of Ny Upstate Medical University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Endocrinology Associates, PCGroup PAC ID 6507816600, 3 clinicians

Practice addresses (Care Compare)

11 Industrial Blvd
Suite 202
Paoli, PA 19301-1620
Phone (610) 251-0300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Endocrinology Associates, PC Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2005 Accepting new patients
Alan J Sears, M.D., P.C. Past Accepting new patients

Locations

2100 Keystone Ave
Ste 308
Drexel Hill, PA 19026
Phone (610) 259-9096

21 Industrial Blvd
Ste 101
Paoli, PA 19301
Phone (610) 251-0300

11 Industrial Blvd
Ste 202
Paoli, PA 19301
Phone (610) 251-0300

Interoperability endpoints

  • Direct secure messaging: marilyn.ryan@sea.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1386733780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 INDUSTRIAL BLVD",
            "address_2": "SUITE #21",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011610",
            "telephone_number": "610-251-0300",
            "fax_number": "610-251-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 INDUSTRIAL BLVD",
            "address_2": "SUITE #21",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011610",
            "telephone_number": "610-251-0300",
            "fax_number": "610-251-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MARILYN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD025002E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.