John Michael Ryden, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40514 Issued in MN

Practice address

8373 Unity Dr
Virginia, MN 55792-4005

Phone

(218) 748-7480

Fax

(218) 748-7488

NPI assigned

Jul 14, 2006

Last updated

Dec 4, 2020By 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 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Group Health, Inc.

  dba HealthPartners Medical Group

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683
  Medicare reassignment NPD
• St. Luke's Hospital of Duluth

  dba Aspirus St Lukes Hospital Inpatient Rehab

  • Rehabilitation Hospital Unit
  • Duluth, MN
  • NPI 1902845068
  Medicare reassignment NPD
• Group Health, Inc.

  dba HealthPartners Midway Residency Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD
• St. Luke's Hospital of Duluth

  dba Aspirus Palliative Medicine - Minnesota

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Duluth, MN
  • NPI 1073480968
  NPD
• St. Luke's Hospital of Duluth

  dba Aspirus St Lukes Hibbing Clinic

  • Rural Health Clinic/Center
  • Hibbing, MN
  • NPI 1427000512

  Family Medicine

  NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1578589255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8373 UNITY DR",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557924005",
            "telephone_number": "218-748-7480",
            "fax_number": "218-748-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8373 UNITY DR",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557924005",
            "telephone_number": "218-748-7480",
            "fax_number": "218-748-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDEN",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "40514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361714900",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@slk.direct.slhduluth.com",
            "affiliation": "N",
            "address_1": "8373 Unity Dr",
            "city": "Virginia",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557924005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seionni Mae Roundtree
• Donna Rowan
• River Tyler Rowan
• Nicole H Ruane, RPH
• Robert Thomas Rutka, MD
• Kelsey Viola Rye
• Krystal Lee Rynders
• Lauren Lynn Saba
• Laura Sainio, CNP
• Madison J Sanders, COTA

• Family Medicine Physician in Virginia, MN
• Providers in Virginia, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.