Active NPI
Robyn G Ryan, MD
- Dermatology Physician
- Lincoln, NE
National Provider Identifier
1588664346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 15654
- Practice address
- 7100 Stephanie LN Ste 100
Lincoln, NE 68516-5332 - Phone
- (402) 484-9009
- Fax
- (402) 483-4223
- NPI assigned
- Jul 22, 2005
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 15654 | NE | Primary |
Addresses
Primary practice location
7100 Stephanie LN Ste 100
Lincoln, NE 68516-5332
Mailing address
PO Box 6068
Lincoln, NE 68506-0068
Phone (402) 484-9009
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070013361 | Other | NE | RAILROAD MEDICARE |
| 47065843713 | Medicaid | NE | |
| 7398 | Other | NE | BLUE SHIELD |
Other names 1
- Robyn Gembol
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15654 | NE | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutton Skin and Eye Clinic PC | Dermatology | Current | Accepting new patients |
| Eye Surgical Associates, LLC | Past | Accepting new patients |
Locations
6900 L St
Lincoln, NE 68510
Phone (402) 483-7700
7100 Stephanie Ln
#100
Lincoln, NE 68516
Phone (402) 484-9009
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sutton Dermatology and Aesthetics
- Dermatology Physician
- Lincoln, NE
- NPI 1881690261
-
- Ophthalmology Physician
- Lincoln, NE
- NPI 1417952995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1588664346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6068",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685060068",
"telephone_number": "402-484-9009",
"fax_number": "402-483-4223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 STEPHANIE LN STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165332",
"telephone_number": "402-484-9009",
"fax_number": "402-483-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "ROBYN",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NE",
"license": "15654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070013361",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47065843713",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "7398",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBYN",
"last_name": "GEMBOL",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.