Individual provider Active NPI

Adam Paul Ryan, M.D.

  • Obstetrics & Gynecology Physician
  • Iron Mountain, MI
National Provider Identifier
1760585996
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301079271 Issued in MI
Practice address
1001 S Hemlock St
Iron Mountain, MI 49801-3805
Phone
(906) 776-5982
Fax
(906) 774-4735
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301079271 MI Primary

Addresses

Primary practice location

1001 S Hemlock St
Iron Mountain, MI 49801-3805

Mailing address

PO Box 549
Iron Mountain, MI 49801-0549
Phone (906) 776-5982

Other identifiers 4

IdentifierTypeStateIssuer
233893OtherMIMEDICARE- RURAL HEALTH RIVER BEND
4416207MedicaidMI
34225000OtherWIMEDICAID
1602201141OtherMIBCBS MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20081007000131 MI Practitioner - Obstetrics/Gynecology 3779511183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301079271MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
Dickinson County Healthcare System Obstetrics & Gynecology CurrentSince Jun 15, 2008 Accepting new patients
Dickinson County Healthcare System Past Accepting new patients
Bell Medical Center Past Accepting new patients
Douglas J Henke MD PC Obstetrics & Gynecology PastSince May 3, 2004 Accepting new patients

Locations

2845 US Highway 2 41
Ste 112
Bark River, MI 49807

1001 S Hemlock St
Iron Mountain, MI 49801
Phone (906) 776-5982

1711 S Stephenson Ave
Ste 125
Iron Mountain, MI 49801
Phone (906) 776-5810

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1115 S Hemlock St
Ste 6
Iron Mountain, MI 49801
Phone (906) 774-1094

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

1010 Olive Ave
Florence, WI 54121
Phone (715) 528-4775

Interoperability endpoints

  • Direct secure messaging: adam.ryan@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: adam.ryan.1@22710.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1760585996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498010549",
            "telephone_number": "906-776-5982",
            "fax_number": "906-774-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S HEMLOCK ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013805",
            "telephone_number": "906-776-5982",
            "fax_number": "906-774-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ADAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301079271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- RURAL HEALTH RIVER BEND",
            "identifier": "233893",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4416207",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "34225000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "1602201141",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.