Individual provider Active NPI

Terrence J Ryan, M.D.

  • Neurological Surgery Physician
  • Columbia, MO
National Provider Identifier
1619925559
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2006002066 Issued in MO
Practice address
1605 E Broadway
Suite 100
Columbia, MO 65201-8023
Phone
(573) 815-4242
Fax
(573) 815-4245
NPI assigned
May 4, 2006
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2006002066 MO Primary

Addresses

Primary practice location

1605 E Broadway
Suite 100
Columbia, MO 65201-8023

Mailing address

1605 E Broadway
Suite 100
Columbia, MO 65201-8023
Phone (573) 815-4242

Other identifiers 1

IdentifierTypeStateIssuer
201333200MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20060630000135 MO Practitioner - Neurosurgery 2860404274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Missouri, Kansas City, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000

1600 E Broadway Box 50 Attn Stephanie Windsor
Columbia, MO 65201-5844

1605 E Broadway
Columbia, MO 65201-8023

1705 E Broadway
Suite 280
Columbia, MO 65201-7185
Phone (573) 815-7119

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion22
Laminectomy or laminotomy (partial removal of spine bones)21

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006002066MOMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Neurological Surgery Current Accepting new patients
Heartland Regional Medical Center Neurological Surgery CurrentSince Feb 28, 2024 Accepting new patients
Mid Missouri Neurosurgery, LLP Neurological Surgery CurrentSince Jul 24, 2006 Accepting new patients
Boone Physician Services, LLC CurrentSince Feb 1, 2014 Accepting new patients
Heartland Regional Medical Center CurrentSince Feb 28, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

315 E Business Loop 70
Columbia, MO 65201
Phone (573) 817-2703

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

802 N Riverside Rd
Ste 150
Saint Joseph, MO 64507
Phone (816) 271-4025

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1005

Interoperability endpoints

  • Direct secure messaging: terrenceryan@mhccaremail.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1619925559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018023",
            "telephone_number": "573-815-4242",
            "fax_number": "573-815-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018023",
            "telephone_number": "573-815-4242",
            "fax_number": "573-815-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "TERRENCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2006002066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201333200",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.