Organization Active NPI

John B. Ryan, M.D. PC.

  • Surgery Physician
  • Auburn, NY
National Provider Identifier
1780874412
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JOHN B. RYAN, M.D. PC.
Practice address
132 North St
Auburn, NY 13021-1829
Phone
(315) 258-8282
Fax
(315) 258-7386
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Maureen R Grunder
Title
Office Manager
Phone
(315) 258-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

132 North St
Auburn, NY 13021-1829

Mailing address

132 North St
Auburn, NY 13021-1829
Phone (315) 258-8282

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1780874412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211829",
            "telephone_number": "315-258-8282",
            "fax_number": "315-258-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211829",
            "telephone_number": "315-258-8282",
            "fax_number": "315-258-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B. RYAN, M.D. PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "GRUNDER",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-258-8282"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.