Ryan Hinman MD LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

35120819 Issued in OH

Legal business name

RYAN HINMAN MD LLC

Practice address

3535 Southern Blvd
Kettering, OH 45429-1221

Phone

(937) 384-8797

NPI assigned

Jul 1, 2016

Organization subpart

No

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

Authorized official

Name

Ryan Hinman, MDNPI 1720308547

Title

President

Phone

(937) 384-8797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 4

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

• Ryan Warren Hinman, MD

  • Physical Medicine & Rehabilitation Physician
  • Kettering, OH
  • NPI 1720308547
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Zeiders, APRN

  • Acute Care Nurse Practitioner
  • Kettering, OH
  • NPI 1568174746
  Medicare reassignment Care Compare group NPD
• Michael D Kelley, PA

  • Physician Assistant
  • Kettering, OH
  • NPI 1043284698
  Medicare reassignment Care Compare group
• Michael Patrick Lorey, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Beavercreek, OH
  • NPI 1922631761
  Medicare reassignment

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1487006474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-384-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN HINMAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "HINMAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-384-8797",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35120819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Russell
• Misozi Russell
• Raymond G. Russell, M.D.
• Karla Ruth
• Jenna Rose Rutkowski
• Carol Gaut Ryan, MD
• Tarek M Sabagh, MD
• Douglas C Sacksteder, DC
• Malek Mohamad Safa, M.D.
• Luis R Saldana-Gautier, M.D.

• Physical Medicine & Rehabilitation Physician in Kettering, OH
• Providers in Kettering, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.