Active NPI
Valerie Ryan MD PA Inc
- Emergency Medicine Physician
- Port St Lucie, FL
National Provider Identifier
1669741740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME83668
- Legal business name
- VALERIE RYAN MD PA INC
- Practice address
- 1871 SE Tiffany Ave
Ste 210
Port St Lucie, FL 34952-7585 - Phone
- (772) 398-3609
- NPI assigned
- Dec 20, 2011
- Last updated
- Jan 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Valerie Ann Ryan, MD
- Title
- Owner
- Phone
- (772) 240-4799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME83668 | FL | Primary |
Addresses
Primary practice location
1871 SE Tiffany Ave
Ste 210
Port St Lucie, FL 34952-7585
Mailing address
PO Box 3514
Fort Pierce, FL 34948-3514
National Provider Directory
National Provider DirectoryLocations
1871 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (630) 965-8953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326412800000",
"number": "1669741740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3514",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349483514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1871 SE TIFFANY AVE",
"address_2": "STE 210",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527585",
"telephone_number": "772-398-3609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALERIE RYAN MD PA INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-20",
"last_updated": "2012-01-13",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-240-4799",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME83668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.