Organization Active NPI

Valerie Ryan MD PA Inc

  • Emergency Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1669741740
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME83668 Issued in FL
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.