Edward F. Ryan,Jr. D.O.,LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS004391-L Issued in PA

Legal business name

EDWARD F. RYAN,JR. D.O.,LLC

Practice address

2100 Keystone Ave
Ste 507
Drexel Hill, PA 19026-1129

Phone

(610) 626-6220

Fax

(610) 626-3265

NPI assigned

Jun 23, 2006

Last updated

Feb 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Francis Ryan Jr., D.O.

Title

Owner

Phone

(610) 626-6220

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia H Cohen, MD

  • Dermatology Physician
  • Havertown, PA
  • NPI 1659464352
  NPD (past)
• Jonathan T Wolfe, MD

  • Procedural Dermatology Physician
  • Plymouth Meeting, PA
  • NPI 1235142084
  NPD (past)
• Paul Bujanauskas, M.D.

  • Dermatology Physician
  • Baltimore, MD
  • NPI 1366409534
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1891721932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVE",
            "address_2": "SUITE 507",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261129",
            "telephone_number": "610-626-6220",
            "fax_number": "610-626-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVE",
            "address_2": "STE 507",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261129",
            "telephone_number": "610-626-6220",
            "fax_number": "610-626-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD F. RYAN,JR. D.O.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-626-6220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "OS004391-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmonds and Associates (Great Valley Eye Associates)
• Chad Thomas Edmonds, OD
• Scott A. Edmonds, OD
• Susan E. Edmonds, OD
• Edward E Villanueva DPM
• Edward M Bleeden, M.D., P.C.
• Efficient Human Services
• Bridget O'Reilly Egan, PA-C
• Eleanor S Tiongson MD PC
• Emperor Health Care Services LLC

• Specialist in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.