Thomas Baldwin Ryan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

013269 Issued in LA

Practice address

3040 33Rd St
Metairie, LA 70001-2036

Phone

(504) 832-5500

Fax

(504) 832-5531

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tenet Healthsystem Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1821029117
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720183015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 PRYTANIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153315",
            "telephone_number": "504-897-2600",
            "fax_number": "504-832-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 33RD ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012036",
            "telephone_number": "504-832-5500",
            "fax_number": "504-832-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "THOMAS",
        "middle_name": "BALDWIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "013269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194395",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7847263",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Ahlert Russo Jr., DC.
• Sara Russo
• Jay Carson Rutz, D.M.D., M.S.
• Rebecca Schreiner Ryan, PLPC, MT-BC
• Robert Comel Ryan, MD
• Jessica E.R Ryes
• Jonathon Jay Rynning, M.D.
• Malak Saad
• Emily Saccaro
• Cammi Larosee Sacco, MD

• Specialist in Metairie, LA
• Providers in Metairie, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.