Organization Active NPI

Medry, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Marrero, LA
National Provider Identifier
1780254227
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
MEDRY, LLC
Practice address
1111 Medical Center Blvd Ste 750
Marrero, LA 70072-3197
Phone
(504) 340-6976
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Dr. Stephen Rynick, MD
Title
Joint Owner
Phone
(504) 708-9164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

1111 Medical Center Blvd Ste 750
Marrero, LA 70072-3197

Mailing address

544 Evergreen Dr
Mandeville, LA 70448-7575
Phone (504) 708-9164

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1780254227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 EVERGREEN DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487575",
            "telephone_number": "504-708-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD STE 750",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723197",
            "telephone_number": "504-340-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "RYNICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "JOINT OWNER",
        "authorized_official_telephone_number": "504-708-9164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.