David M Ryan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00001368 Issued in WA

Legal business name

DAVID M RYAN, D.O.

Practice address

1410 N Pittsburg St Ste a
Kennewick, WA 99336-8211

Phone

(509) 374-4166

Fax

(509) 374-4167

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

David Michael Ryan, D.O.NPI 1912918129

Title

Owner

Phone

(509) 374-4166

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 7

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

• David Michael Ryan, D.O.

  • Family Medicine Physician
  • Kennewick, WA
  • NPI 1912918129
  Medicare reassignment Authorized official
• Bevan W Briggs, ARNP

  • Nurse Practitioner
  • Kennewick, WA
  • NPI 1841277340
  NPD (past)
• Terri Dee Davari, ARNP

  • Family Nurse Practitioner
  • Richland, WA
  • NPI 1699717009
  NPD (past)
• Debra Kay Stanciu, ARNP

  • Family Medicine Physician
  • Spokane Valley, WA
  • NPI 1780611939
  NPD (past)
• Carol J Williams

  • Nurse Practitioner
  • Richland, WA
  • NPI 1083761837
  NPD (past)
• Shari A Burbank, APRN

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1922165208
  NPD (past)
• Kathi M. Stevens, FNP-C

  • Family Nurse Practitioner
  • Fairbanks, AK
  • NPI 1932187002
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1619034980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N PITTSBURG ST STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368211",
            "telephone_number": "509-374-4166",
            "fax_number": "509-374-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N PITTSBURG ST STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368211",
            "telephone_number": "509-374-4166",
            "fax_number": "509-374-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M RYAN, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-374-4166",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7128952",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winchester John Dang
• Roman Daniels-Brown
• Jessica Ann Daniels, MS, LMHC, SUDP, NCC
• Tiare Daos
• Taylor Darby
• Leslie Michelle Davids, CDPT
• Angela Renee Davidson, LMT
• April Rallo Davis, D.O.
• Brenden J Davis, DMD, MPH
• Dawnelle Marie Davis

• Family Medicine Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.