Active NPI
Patrick Trent Ryan, D.C.
- Neurology Chiropractor
- Wilmington, DE
National Provider Identifier
1881774792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- F1-0000443
- Practice address
- 6 Sharpley Rd
Wilmington, DE 19803-2941 - Phone
- (302) 778-0100
- Fax
- (302) 652-1116
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | F1-0000443 | DE | Primary |
Addresses
Primary practice location
6 Sharpley Rd
Wilmington, DE 19803-2941
Mailing address
6 Sharpley Rd
Wilmington, DE 19803-2941
Phone (302) 778-0100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000516521 | Other | DE | AETNA |
| 2053546000 | Other | DE | AMERIHEALTH |
| 6469570001 | Other | DE | PTAN |
| 510381CHI | Other | DE | BLUE CROSS |
| 2255615000 | Other | DE | KEYSTONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1-0000443 | DE | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Medical Care LLC | Neurology | Current | Accepting new patients |
| Wellness Medical LLC | Neurology | Current | Accepting new patients |
Locations
6 Sharpley Rd
Wilmington, DE 19803
Phone (302) 652-0411
Organizations & group practices 2
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": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1881774792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SHARPLEY RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198032941",
"telephone_number": "302-778-0100",
"fax_number": "302-652-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SHARPLEY RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198032941",
"telephone_number": "302-778-0100",
"fax_number": "302-652-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "PATRICK",
"middle_name": "TRENT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "DE",
"license": "F1-0000443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "000516521",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2053546000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "6469570001",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "510381CHI",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "2255615000",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.