Ryan Ellwein OD PC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

595 Issued in SD

Legal business name

RYAN ELLWEIN OD PC

Practice address

3501 W 41St St
Ste 110 B
Sioux Falls, SD 57106-0709

Phone

(605) 271-9060

Fax

(605) 271-9062

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ryan EllweinNPI 1801981030

Title

Owner

Phone

(605) 271-9060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Ellwein, OD

  • Optometrist
  • Sioux Falls, SD
  • NPI 1801981030
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1912229683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 W 41ST ST",
            "address_2": "STE 110 B",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571060709",
            "telephone_number": "605-271-9060",
            "fax_number": "605-271-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W 41ST ST",
            "address_2": "STE 110 B",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571060709",
            "telephone_number": "605-271-9060",
            "fax_number": "605-271-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN ELLWEIN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "ELLWEIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-271-9060",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "SD",
            "license": "595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203364",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn Rusten
• Sara Jeanne Ruter, M.D.
• Mason Ray Ruthford, MD
• Kahthrina Ruud, LCSW-PIP
• Ninel Nellie Ruzhitsky, CNP
• John James Ryan, MD
• Joshua Ryan, MD
• Kali Elise Ryan X, PA-C
• Rebecca Betty Ryan, DDS
• Jon Ryckman, MD

• Ophthalmologic Surgery Clinic/Center in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Ophthalmologic Surgery Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.

Verify at the official NPI Registry.