Individual provider Active NPI

Anna Ryan, M.D.

  • Specialist
  • Manchester, NH
National Provider Identifier
1780678649
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9710 Issued in NH
Practice address
1650 Elm St
Suite 101
Manchester, NH 03101-1217
Phone
(603) 626-7546
Fax
(603) 626-7548
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9710 NH Primary

Addresses

Primary practice location

1650 Elm St
Suite 101
Manchester, NH 03101-1217

Mailing address

526 Main St 302
Acton, MA 01720-3301
Phone (978) 849-7507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131017000389 MA Practitioner - Dermatology 6002914827 Reassigns benefits to 2 organizations
I20171222000559 WA Practitioner - Dermatology 6002914827 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc CurrentSince Jun 3, 2024 Accepting new patients
Anna Sarno Ryan, M.D, P.C. CurrentSince Jan 1, 1990 Accepting new patients
Daniel E Viders MD PC CurrentSince Jun 1, 2024 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Nov 20, 2017 Accepting new patients
Rhode Island Dermatology & Cosmetic Center LLC Specialist Current Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Nov 20, 2017 Accepting new patients
Apderm North, PC Past Accepting new patients

Locations

207 Southbridge St
Auburn, MA 01501
Phone (508) 832-7118

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

1650 Elm St
Ste 101
Manchester, NH 03101
Phone (603) 626-7546

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300

Interoperability endpoints

  • Direct secure messaging: aryan186994@ghc.direct-ci.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1780678649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-849-7507",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ELM ST",
            "address_2": "SUITE 101",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011217",
            "telephone_number": "603-626-7546",
            "fax_number": "603-626-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NH",
            "license": "9710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.