Deirdre Ryan, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5601001631 Issued in MI

Practice address

7445 Allen Rd
Suite 250
Allen Park, MI 48101-1963

Phone

(313) 386-5500

Fax

(313) 386-1339

NPI assigned

May 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: deirdreryan@wwp.allscriptsdirect.net

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.

• Western Wayne Family Physicians, PLC

  dba Western Wayne Physicians, PLC

  • Family Medicine Physician
  • Allen Park, MI
  • NPI 1629263520
  Medicare reassignment

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1962720789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 ALLEN RD",
            "address_2": "SUITE 101",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011402",
            "telephone_number": "313-386-5500",
            "fax_number": "313-386-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD",
            "address_2": "SUITE 250",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011963",
            "telephone_number": "313-386-5500",
            "fax_number": "313-386-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "DEIRDRE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5601001631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Rosenblum, D.D.S.
• Meaghan Rourke, ATC
• Abby G Rumsey
• RX Discount Pharmacy (Allen park discount pharmacy)
• RX Optical Laboratories, Inc.
• S P Garg MD PC
• S.M. Kaura M.D., PLLC
• Mariam Salameh
• Sarah Salisbury
• Renee Marie Sanchez, RN

• Family Medicine Physician in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.