NPIMap

Individual provider Active NPI

Christopher Charles Ryen, D.O.

  • Diagnostic Radiology Physician
  • Jonesboro, AR
National Provider Identifier
1689986390
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E9628 Issued in AR
Practice address
225 E Washington Ave
Jonesboro, AR 72401-3111
Phone
(870) 910-6654
Fax
(870) 932-0526
NPI assigned
Jul 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Diagnostic Radiology Physician 2085R0202X E9628 AR Primary

Addresses

Primary practice location

225 E Washington Ave
Jonesboro, AR 72401-3111

Mailing address

250 N Shadeland Ave
Suite 130 Provider Enrollment
Indianapolis, IN 46219-4959
Phone (317) 715-6401

Other identifiers 1

IdentifierTypeStateIssuer
201306130MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606001078 AR Practitioner - Diagnostic Radiology 4789824475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City College of Medicine and Surgery, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Radiologists LTDGroup PAC ID 8123009941, 38 clinicians
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

1309 W Main St
Walnut Ridge, AR 72476-1430
Phone (870) 886-1244

225 E Jackson Ave
Jonesboro, AR 72401-3119
Phone (870) 972-4555

225 E Washington Ave
Jonesboro, AR 72401-3111
Phone (970) 207-4100

800 S Church St
Suite 101
Jonesboro, AR 72401-4154
Phone (870) 932-0639

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Piggott Community Hospital Hospital, Piggott, AR, CCN 041330
  • Lawrence Memorial Hospital Hospital, Walnut Ridge, AR, CCN 041309
  • Great River Medical Center Hospital, Blytheville, AR, CCN 040069
  • Crossridge Community Hospital Hospital, Wynne, AR, CCN 041307

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9628ARMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Oct 10, 2024 Accepting new patients
St.Bernards Pet Center LLC Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
St Bernards Physician Clinics Inc Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Arcare CurrentSince Oct 10, 2024 Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Arcare Current Accepting new patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince Jul 20, 2016 Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

800 S Church St
Ste 101
Jonesboro, AR 72401

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

Organizations & group practices 9

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": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1689986390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "SUITE 130 PROVIDER ENROLLMENT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "317-715-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013111",
            "telephone_number": "870-910-6654",
            "fax_number": "870-932-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-10",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E9628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201306130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.