Active NPI
Ryan Hanson, M.D.
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1891769006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-071364
- Practice address
- 750 E Long St Ste 3000
Columbus, OH 43203-1874 - Phone
- (614) 340-6700
- NPI assigned
- Feb 14, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-071364 | OH | Primary |
Addresses
Primary practice location
750 E Long St Ste 3000
Columbus, OH 43203-1874
Mailing address
750 E Long St
Columbus, OH 43203-1846
Phone (614) 340-6700
Other practice location 1
1875 Millikin Rd
Columbus, OH 43210-2200
Phone (614) 292-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0855671 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2680 W Broad St
Columbus, OH 43204-3332
Phone (614) 360-2900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-071364 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Outreach Wellness Center | Current | Accepting new patients | |
| Equitas Health,Inc | Past | Accepting new patients | |
| Immediate Health Associates | Past | Accepting new patients | |
| Wedgewood Urgent Care, LTD | Family Medicine | Past | Accepting new patients |
| Cosmopolitan Dermatology, Inc. | Past | Accepting new patients |
Locations
2323 Lee Rd
Cleveland Hts, OH 44118
Phone (216) 235-0408
2680 W Broad St
Columbus, OH 43204
Phone (614) 274-2020
Interoperability endpoints
- rhanson656420@direct.ochin.org
Organizations & group practices 5
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.
-
- Dermatology Physician
- Shaker Heights, OH
- NPI 1376934935
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1518227453
-
- Emergency Medicine Physician
- Westerville, OH
- NPI 1639123193
-
- Family Medicine Physician
- Powell, OH
- NPI 1487601167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1891769006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E LONG ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432031846",
"telephone_number": "614-340-6700",
"fax_number": "614-247-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E LONG ST STE 3000",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432031874",
"telephone_number": "614-340-6700"
}
],
"practiceLocations": [
{
"address_1": "1875 Millikin Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432102200",
"country_code": "US",
"telephone_number": "614-292-0110",
"fax_number": "614-247-6074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSON",
"first_name": "RYAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-071364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0855671",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.