Individual provider Active NPI

Ryan Holub-Ward

  • Pediatrics Physician
  • Warren, MI
National Provider Identifier
1639815624
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101028873 Issued in MI
Practice address
30061 Schoenherr Rd Ste a
Warren, MI 48088-3133
Phone
(586) 558-2111
Fax
(586) 558-3665
NPI assigned
May 11, 2022
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101028873 MI Primary

Addresses

Primary practice location

30061 Schoenherr Rd Ste a
Warren, MI 48088-3133

Mailing address

30061 Schoenherr Rd Ste a
Warren, MI 48088-3133
Phone (586) 558-2111

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101028873MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northpointe Pediatrics, P.C. Pediatrics PastSince Oct 12, 2025 Accepting new patients
Northpointe Pediatrics PC PastSince Oct 12, 2025 Accepting new patients
Detroit Wayne County Health Authority PastSince Jun 21, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19827/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ryan.ward.1@17288.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1639815624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30061 SCHOENHERR RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883133",
            "telephone_number": "586-558-2111",
            "fax_number": "586-558-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30061 SCHOENHERR RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883133",
            "telephone_number": "586-558-2111",
            "fax_number": "586-558-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLUB-WARD",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101028873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.