Ryan S Fauble MD PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

RYAN S FAUBLE MD PLLC

Doing business as

Desert Valley Gastroenterology

Practice address

4858 E Baseline Rd
Suite #F107
Mesa, AZ 85206-4638

Phone

(248) 508-1960

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Ryan Scott Fauble, MDNPI 1427170166

Title

Owner

Phone

(248) 508-1960

Specialties & licenses 1

Addresses

Other names 1

• Desert Valley Gastroenterology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Scott Fauble, MD

  • Gastroenterology Physician
  • Ann Arbor, MI
  • NPI 1427170166
  NPD (past) Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750582730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4858 E BASELINE RD",
            "address_2": "SUITE #F107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4858 E BASELINE RD",
            "address_2": "SUITE #F107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064638",
            "telephone_number": "248-508-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN S FAUBLE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAUBLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-508-1960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Valley Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristine Lee Rutt, PNP
• Ivan Ruvinov, DDS
• Petr O Ruzicka, M.D.
• Ufitinema Diane Rwigamba
• Ryan L Rudd DC LLC
• Ryan S. Wallin, DDS, PC
• James Matthew Ryan, M.D.
• Lari Suzanne Ryan, APRN
• Melanie Louise Ryan, FNP-C
• Michelle Shelley Ryan, LISAC

• Gastroenterology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.