Active NPI
Daniel J Ryan MD PC
- Ophthalmology Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- DANIEL J RYAN MD PC
- Practice address
- 1113 Villa Linde CT
Flint, MI 48532-3410 - Phone
- (810) 733-1214
- Fax
- (810) 733-3011
- NPI assigned
- Dec 28, 2006
- Last updated
- Apr 20, 2008
- 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
- Daniel J Ryan, M.D.
- Title
- President
- Phone
- (810) 733-1214
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
1113 Villa Linde CT
Flint, MI 48532-3410
Mailing address
1113 Villa Linde CT
Flint, MI 48532-3410
Phone (810) 733-1214
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DR068574 | Other | BLUE CHOICE THRU BCN | |
| 07308 | Other | M CARE | |
| 1004688 | Other | MCLAREN HEALTH ADVANTAGE | |
| 180044733 | Other | RR MEDICARE | |
| 1004688 | Other | MCLAREN HEALTH PLAN | |
| 1867250 | Other | FIRST HEALTH | |
| 7650396 | Other | AETNA | |
| 4218962 | Medicaid | MI | |
| 0988882 | Other | MI | HEALTH PLUS |
| 0988882 | Other | GENESEE HEALTH PLAN | |
| 1802505282 | Other | MI | BCBS |
| 1802505282 | Other | BLUE CROSS NETWORK | |
| C7308 | Other | KIDS CARE OF MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Daniel J Ryan MD PC | Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1113 Villa Linde Ct
Flint, MI 48532
Phone (810) 732-6231
1113 Villa Linde Ct
Bldg 3
Flint, MI 48532
Phone (810) 733-1214
1113 Villa Linde Ct
Bldg 35
Flint, MI 48532
Phone (810) 733-1214
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/K5AZLDonMdOUURhD3rPUNxDoRLOgChcj/
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Flint, MI
- NPI 1629040068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1710043641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 VILLA LINDE CT",
"city": "FLINT",
"state": "MI",
"postal_code": "485323410",
"telephone_number": "810-733-1214",
"fax_number": "810-733-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 VILLA LINDE CT",
"city": "FLINT",
"state": "MI",
"postal_code": "485323410",
"telephone_number": "810-733-1214",
"fax_number": "810-733-3011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL J RYAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "810-733-1214",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE THRU BCN",
"identifier": "DR068574",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M CARE",
"identifier": "07308",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH ADVANTAGE",
"identifier": "1004688",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "180044733",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "1004688",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1867250",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7650396",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4218962",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "0988882",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENESEE HEALTH PLAN",
"identifier": "0988882",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1802505282",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NETWORK",
"identifier": "1802505282",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KIDS CARE OF MI",
"identifier": "C7308",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.