Individual provider Active NPI

Kathryn Ryan, DO

  • Family Medicine Physician
  • Saxonburg, PA
National Provider Identifier
1689681587
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006084L Issued in PA
Practice address
101 Alwine Rd
Suite 104
Saxonburg, PA 16056-8604
Phone
(724) 352-8840
Fax
(724) 352-9033
NPI assigned
Aug 2, 2006
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS006084L PA Primary

Addresses

Primary practice location

101 Alwine Rd
Suite 104
Saxonburg, PA 16056-8604

Mailing address

101 Alwine Rd
Ste 104
Saxonburg, PA 16056-8604
Phone (724) 352-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120312000288 PA Practitioner - Family Practice 6608892484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kathryn a Ryan DO and AssociatesGroup PAC ID 4082506597, 3 clinicians

Practice addresses (Care Compare)

101 Alwine Rd
Suite 104
Saxonburg, PA 16056-8604
Phone (724) 352-8840

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006084LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn a Ryan DO and Associates Family Medicine CurrentSince Jun 1, 2003 Accepting new patients

Locations

101 Alwine Rd
Ste 104
Saxonburg, PA 16056
Phone (724) 352-8840

Interoperability endpoints

  • Direct secure messaging: kr@krdo.medentdirect.com

Organizations & group practices 1

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 6

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1689681587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ALWINE RD",
            "address_2": "STE 104",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160568604",
            "telephone_number": "724-352-8840",
            "fax_number": "724-352-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ALWINE RD",
            "address_2": "SUITE 104",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160568604",
            "telephone_number": "724-352-8840",
            "fax_number": "724-352-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KATHRYN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006084L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saxonburg, PA

Sources for this page

Verify at the official NPI Registry.