Ryan Medical

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

RYAN MEDICAL

Practice address

21647 Ryan Rd
Warren, MI 48091-2795

Phone

(586) 757-4200

Fax

(586) 757-8332

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Meyers, DO

Title

Physician

Phone

(586) 757-4200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922083997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21647 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912795",
            "telephone_number": "586-757-4200",
            "fax_number": "586-757-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21647 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912795",
            "telephone_number": "586-757-4200",
            "fax_number": "586-757-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-757-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Anne Russell, NP-C
• Tamika Russell
• Salvatore Russo, L.P.C.
• Jenna Marie Rust, D.O.
• Ryan Dental Group
• Ryan Medical Equipment, Inc
• Ryan Medical Services
• Ryan Pharmacy
• Ryan RX LLC
• Daniel Martin Ryan, MD

• Neuromusculoskeletal Medicine & OMM Physician in Warren, MI
• Providers in Warren, MI by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.