Active NPI
John B. Ryan, M.D. PC.
- Surgery Physician
- Auburn, NY
National Provider Identifier
1780874412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 DirectoryNPI 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.