Individual provider Active NPI

Ryan Daryl Melvin, D.O.

  • Cardiovascular Disease Physician
  • Panama City, FL
National Provider Identifier
1679919724
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS17630 Issued in FL
Practice address
625 W Baldwin Rd Ste C
Panama City, FL 32405-3359
Phone
(850) 769-0329
Fax
(844) 563-8135
NPI assigned
May 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS17630 FL Primary

Addresses

Primary practice location

625 W Baldwin Rd Ste C
Panama City, FL 32405-3359

Mailing address

625 W Baldwin Rd Ste C
Panama City, FL 32405-3359
Phone (850) 769-0329

Other practice location 1

17745 Ashley Dr
Panama City Beach, FL 32413-5120
Phone (850) 769-0329

Other identifiers 1

IdentifierTypeStateIssuer
111497100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190713000051 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3779818794 Reassigns benefits to 1 organization
I20210622003684 FL Practitioner - Cardiovascular Disease (Cardiology) 3779818794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Econfina Cardiology Group PAGroup PAC ID 0840180204, 18 clinicians

Practice addresses (Care Compare)

625 W Baldwin Rd
Suite C
Panama City, FL 32405-3359
Phone (850) 769-0329

Hospital & facility affiliations

  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
  • Ascension Sacred Heart Gulf Hospital, Port Saint Joe, FL, CCN 100313
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS17630FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Econfina Cardiology Group, PA Cardiovascular Disease CurrentSince Mar 1, 2025 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Feb 12, 2024 Accepting new patients
Mymichigan Medical Center Sault Current Accepting new patients
Mymichigan Medical Center Sault CurrentSince Feb 12, 2024 Accepting new patients

Locations

1936 Jenks Ave
Panama City, FL 32405
Phone (850) 763-5959

801 E 6th St
Panama City, FL 32401
Phone (850) 747-6018

625 W Baldwin Rd
Ste C
Panama City, FL 32405
Phone (850) 769-6612

17745 Ashley Dr
Panama City Beach, FL 32413

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rmelvin117519@direct.bronsonhg.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1679919724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-769-0329",
            "fax_number": "844-563-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-769-0329",
            "fax_number": "844-563-8135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17745 Ashley Dr",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324135120",
            "country_code": "US",
            "telephone_number": "850-769-0329",
            "fax_number": "844-563-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "RYAN",
        "middle_name": "DARYL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS17630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111497100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.