Ryan Fann Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RYAN FANN PROSTHETICS, LLC

Doing business as

Reform Prosthetics

Practice address

918 E 72ND St
Savannah, GA 31405-4917

Phone

(912) 344-9599

Fax

(912) 335-3435

NPI assigned

Oct 22, 2019

Last updated

Aug 23, 2023By 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

Joshua Ryan FannNPI 1730446394

Title

Managing Owner

Phone

(615) 579-8407

Specialties & licenses 2

Addresses

Other names 1

• Reform Prosthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Joshua Ryan Fann, CP

  • Prosthetist
  • Savannah, GA
  • NPI 1730446394
  NPD Authorized official
• Zachary Weber, CP

  • Prosthetist
  • Maumee, OH
  • NPI 1700189917
  NPD

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1932742079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 E 50TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314044211",
            "telephone_number": "615-579-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 E 72ND ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054917",
            "telephone_number": "912-344-9599",
            "fax_number": "912-335-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN FANN PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "FANN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "615-579-8407"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reform Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annessa Rutkowski
• Mallory Tucker Rutland
• Rachael Ruttinger, MSN, APRN, WHNP-BC
• RX Inc (Lo Cost Pharmacy)
• RX, Inc (Lo Cost Pharmacy)
• Carly Ryan, M.D.
• Svetlana Ryan, M.D.
• Morgan Ryder
• Edward Rydzak, MD
• Karen Michelle Ryles, ATC/L, CPT

• Prosthetic/Orthotic Supplier in Savannah, GA
• Providers in Savannah, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.