Collaboration Health

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD020432E Issued in MD

Legal business name

COLLABORATION HEALTH

Doing business as

Cardiac Risk Assessment and Prevention

Practice address

552A Lancaster Ave
Berwyn, PA 19312-1635

Phone

(999) 999-9999

NPI assigned

Jun 28, 2011

Last updated

Jun 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Ryan, M.D.

Title

Owner

Phone

(610) 527-3438

Specialties & licenses 1

Addresses

Other names 1

• Cardiac Risk Assessment and Prevention Doing business as

Locations

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1437445483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552A LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552A LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121635",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATION HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-527-3438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "MD020432E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac Risk Assessment and Prevention",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lauren Elizabeth Conaway
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• Margaret M Corboy, MD
• Cornerstone Caregiving East LLC

• Cardiovascular Disease Physician in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.