Demarco Reshard Ryan, DEMARCO RYAN

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

811 Chace Ave
Greenwood, SC 29646-4491

Phone

(864) 227-1964

NPI assigned

Jul 27, 2011

Last updated

Jul 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chosen Ones by God

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greenwood, SC
  • NPI 1144500190
  Authorized official Same address or phone

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1982982781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CHACE AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464491",
            "telephone_number": "864-227-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CHACE AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464491",
            "telephone_number": "864-227-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "DEMARCO",
        "middle_name": "RESHARD",
        "name_prefix": "Mr.",
        "credential": "DEMARCO RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie Runnels
• Michael Lamar Ruppenthal, M.D.
• John Andrew Haws Russell, MD
• Kimberly E Russell, M.D.
• Kevin R Rust, MD
• S.C. Department of Health and Environmental Control
• Margaret Saam, RPH
• Sacred Lotus,LLC
• Rafal Sadurski, MD
• Katie Lian Sahlstrom, DO

• Behavior Analyst in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.