Active NPI
Gayle Blanchard Ryan, MD
- Surgery Physician
- Lebanon, PA
National Provider Identifier
1972586014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD445743
- Practice address
- 1349 Cumberland St
Lebanon, PA 17042-4529 - Phone
- (717) 256-3075
- NPI assigned
- Nov 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | MD445743 | PA | |
| Surgery Physician | 208600000X | MD445743 | PA | Primary |
Addresses
Primary practice location
1349 Cumberland St
Lebanon, PA 17042-4529
Mailing address
1349 Cumberland St
Lebanon, PA 17042-4529
Phone (717) 256-3075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121120000443 | PA | Order and Referring Only - General Surgery | 2466603576 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD445743 | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1972586014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1349 CUMBERLAND ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170424529",
"telephone_number": "717-256-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 CUMBERLAND ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170424529",
"telephone_number": "717-256-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "GAYLE",
"middle_name": "BLANCHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "PA",
"license": "MD445743",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD445743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.