Individual provider Active NPI

Ryan Hanson, M.D.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1891769006
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-071364 Issued in OH
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

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0855671MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210120000223 OH Practitioner - Family Practice 1355754029 Reassigns benefits to 1 organization

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
Central Outreach Wellness CenterGroup PAC ID 6507186772, 43 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-071364OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Outreach Wellness Center CurrentSince Oct 1, 2022 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. PastSince Jun 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.