Cory M Ryan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38039 Issued in KY

Practice address

166 Hospital St
Monticello, KY 42633-2416

Phone

(606) 348-9343

Fax

(606) 340-3258

NPI assigned

Nov 3, 2005

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Emergency Medicine

Education

University of Louisville School of Medicine, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Faith Healthcare IncGroup PAC ID 0840529335, 26 clinicians

Wayne County Hospital IncGroup PAC ID 7113814740, 15 clinicians

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Health Care of Pulaski Home health agency, Somerset, KY, CCN 187099
• Hospice of Lake Cumberland Hospice, Somerset, KY, CCN 181510
• Wayne County Hospital Hospital, Monticello, KY, CCN 181321
• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132
• Wayne County Hospital Nursing home, CCN 18Z321

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cory.ryan@shfc.eclinicaldirectplus.com
• Direct secure messaging: wcocryan@yourcarecommunity.org

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Faith Healthcare Inc

  dba Community Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Monticello, KY
  • NPI 1053964965

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Faith Healthcare Inc

  dba Mt. Vernon Community Care

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, KY
  • NPI 1790541431

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Faith Healthcare Inc.

  dba LC Rheumatology Somerset

  • Federally Qualified Health Center (FQHC)
  • Somerset, KY
  • NPI 1285591008

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Faith Healthcare Inc.

  dba LC Rheumatology London

  • Federally Qualified Health Center (FQHC)
  • London, KY
  • NPI 1336006154

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Faith Healthcare, Inc.

  dba Nancy Family Care

  • Federally Qualified Health Center (FQHC)
  • Nancy, KY
  • NPI 1821690777

  Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Faith Healthcare Inc

  dba Community Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Monticello, KY
  • NPI 1053964965

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment Care Compare group NPD
• Wayne County Hospital, Inc

  • Critical Access Hospital
  • Monticello, KY
  • NPI 1871548016
  Medicare reassignment Care Compare group
• Kentucky Post-Acute Medical Services 1 PSC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Flemingsburg, KY
  • NPI 1831628783

  Hospitalist

  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine, KY

  Medicare reassignment NPD
• Faith Healthcare Inc

  dba Mt. Vernon Community Care

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, KY
  • NPI 1790541431

  Family Medicine

  NPD Authorized official
• Anciro PSC

  dba Urgent Medical Care

  • Family Medicine Physician
  • Somerset, KY
  • NPI 1932118916
  NPD (past)
• Community Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Glasgow, KY
  • NPI 1588766349
  NPD (past)
• Hospice of Lake Cumberland, Inc.

  • Community Based Hospice Care Agency
  • Somerset, KY
  • NPI 1851494124

  Family Medicine

  NPD (past)

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

• Hospice of Lake Cumberland, Inc.

  • Community Based Hospice Care Agency
  • Somerset, KY
  • NPI 1851494124
  Care Compare affiliation
• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Regional Hospital

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation
• Lifeline Home Health Care of Somerset, LLC

  dba Lifeline Health Care of Pulaski

  • Home Health Agency
  • Somerset, KY
  • NPI 1114951993
  Care Compare affiliation
• Wayne County Hospital, Inc

  • Critical Access Hospital
  • Monticello, KY
  • NPI 1871548016
  Care Compare affiliation
• Wayne County Hospital, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Monticello, KY
  • NPI 1992744536

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1467443879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332416",
            "telephone_number": "606-348-9343",
            "fax_number": "606-340-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332416",
            "telephone_number": "606-348-9343",
            "fax_number": "606-340-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CORY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "38039",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38039",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "38039",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "38039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0340",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC & BS",
            "identifier": "000000545017",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467443879",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64059199",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Romero
• Marguerite G Root, APRN
• Sharman Roy
• Ronald W. Rush, DMD
• Ashley N Rutledge, APRN
• James Hobart Sawyer, OD
• Shawna M. Sexton, D.O.
• Amber Shadoan, MD
• William Ronald Shanks, M.D.
• Silvers Hometown Pharmacy LLC

• Family Medicine Physician in Monticello, KY
• Providers in Monticello, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.