DR. KEVIN P RYAN (NPI# 1033137641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033137641 |
| Entity Type | Individual |
| Full Name | DR. KEVIN P RYAN |
| Credential | MD |
| Practice Address |
2000 Pepperell Pkwy Opelika AL 36801-5452 |
| Mailing Address |
Po Box 2145 Opelika AL 36803-2145 |
| Practice Telephone | 3345281700 |
| Practice Fax Number | 3345281535 |
| Mailing Telephone | 3345281700 |
| Mailing Fax Number | 3345281535 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 13442 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 05810009068 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1811272263 | Kevin Michael Ryan | Optometrist | 5201 W War Memorial Dr, Peoria, IL 61615-9222 | 2011-10-17 |
| 1326341645 | Kevin Patrick Ryan | Physical Therapist | 1111 W North 12th St, Shelbyville, IL 62565-9554 | 2010-12-08 |
| 1033398284 | Kevin Thomas Ryan | Marriage & Family Therapist | 119 E 2nd St Ste 216, The Dalles, OR 97058-1796 | 2007-10-24 |
| 1790809663 | Kevin A Ryan | Dentist | 5312 Carolina Pl, Springfield, VA 22151-4401 | 2007-03-18 |
| 1033252465 | Kevin J Ryan | Counselor | 5127 Troon Ln, Durham, NC 27712-1829 | 2007-02-15 |
| 1346309275 | Kevin S Ryan | Physical Therapist | 30 Great Rd Ste 105, Acton, MA 01720 | 2006-12-06 |
| 1184796062 | Kevin Peter Ryan | Chiropractor | 7151 El Cajon Blvd Ste J, San Diego, CA 92115-1819 | 2006-11-15 |
| 1326066614 | Kevin Shawn Ryan | Dentist | 510 Simpson Howell Rd, Elizabeth, PA 15037-2818 | 2006-07-17 |
| Street Address |
2000 PEPPERELL PKWY |
| City | OPELIKA |
| State | AL |
| Zip Code | 36801-5452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452532 | John F Cabelka II | Radiology | 2000 Pepperell Pkwy, Radiation Oncology, Opelika, AL 36801-5452 | 2005-07-29 |
| 1437766185 | Katy Angelina Medford | Specialist/Technologist | 2000 Pepperell Pkwy, Opelika, AL 36801 | 2020-09-27 |
| 1093321473 | Kelsey Nicole Carter | Registered Nurse | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-09-21 |
| 1881209500 | Monty D Ledbetter | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-09-10 |
| 1568071652 | Emily Sandlin Norris | Family Medicine | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-07-24 |
| 1881219285 | Sarah Vest Cogle | Pharmacist | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-06-11 |
| 1336769892 | Alexa Pratt | Registered Nurse | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-04-24 |
| 1629602339 | Joseph Earl Kaczynski | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-03-03 |
| 1982235065 | Kimberly De Vincentis Jones | Nurse Anesthetist, Certified Registered | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-01-28 |
| 1912541806 | Darlene Wilson | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2019-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400963 | Paul Simon | Physical Therapist | 3051 Frederick Rd Suite 4, Opelika, AL 36801 | 2019-08-01 |
| 1932662434 | East Alabama Apothecary LLC | Pharmacy | 2501 Village Professional Drive, Suite 2031, Opelika, AL 36801 | 2019-04-11 |
| 1316399108 | Jessica Audrey Haynie | Nurse Practitioner | 2609 Village Prof. Dr., Suite 3, Opelika, AL 36801 | 2016-07-06 |
| 1639574916 | Melissa Shah Kerber | Dentist | 2015 Interstate Drive, Opelika, AL 36801 | 2014-10-28 |
| 1588096200 | Carla Lynn Hudson | Nurse Practitioner | 2420 Village Professional Drive, Opelika, AL 36801 | 2013-08-05 |
| 1528404878 | Baowu Wang | Psychiatry & Neurology | 2506 Lambert Drive, Opelika, AL 36801 | 2013-05-14 |
| 1144566266 | Caremed Inc. | Durable Medical Equipment & Medical Supplies | 702 N Railroad Ave., Opelika, AL 36801 | 2012-12-18 |
| 1659635472 | Meshia Kerry-ann Wallace | Internal Medicine | 2412 Village Professional Dr S, Opelika, AL 36801 | 2012-06-26 |
| 1558651570 | Amanda Mamie Reimer | Psychiatry & Neurology | 2570 Village Professional Park, Opelika, AL 36801 | 2011-04-11 |
| 1356640569 | Mary Neal Gipson | Marriage & Family Therapist | 218 S. 8th St., Opeika, AL 36801 | 2011-03-28 |
| Find all providers in zip 36801 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700130135 | Endocrinology and Metabolism of East Alabama LLC | Specialist | 2420 Village Professional Dr S, Opelika, AL 36801-4742 | 2012-11-07 |
| 1104193069 | East Alabama Heart and Vascular, LLC | Specialist | 2601 Village Professional Drive, Opelika, AL 36801-4784 | 2011-11-21 |
| 1922397199 | William Lee Garrett Jr. | Specialist | 1702 Arrowhead Ave, Opelika, AL 36801-3502 | 2011-03-28 |
| 1346685765 | Horizons Diagnostics, L.L.C. | Specialist | 2214 Gateway Dr, Suite C, Opelika, AL 36801-1500 | 2013-04-30 |
| 1588803811 | East Alabama Endocrinology, P.C. | Specialist | 3320 Skyway Dr, Suite 808, Opelika, AL 36801-7137 | 2009-02-10 |
| 1407042740 | East Alabama Neurology Inc | Specialist | 3120 Frederick Rd, Suite I, Opelika, AL 36801-7134 | 2007-09-20 |
| 1598827420 | East Alabama Cardiac and Thoracic Surgery | Specialist | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1528699444 | Jackson Hospital and Clinic, Inc | Specialist | 321 Greenville Byp Ste 2, Greenville, AL 36037-3757 | 2020-01-29 |
| 1548809403 | Mizell Memorial Hospital, Inc. | Specialist | 103 E Memorial Ave Ste A, Opp, AL 36467-1746 | 2019-12-24 |
| 1013564285 | Octavia Elisa Bruce | Specialist | 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 | 2019-08-22 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1609342088 | Vituro Health of Georgia, LLC | Specialist | 2901 2nd Ave S Ste 130, Birmingham, AL 35233-2928 | 2018-10-23 |
| 1598248205 | Almatriga Vladzetta Essex | Specialist | 1110 15th St Ste G, Tuscaloosa, AL 35401-3393 | 2018-09-09 |
| 1013428580 | Larry Dell Turner | Specialist | 600 S Court St Ste 312, Montgomery, AL 36104-4106 | 2017-10-23 |
| 1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
| 1912447210 | Neal Laye | Specialist | 29 W 3rd St, Suite B, Sylacauga, AL 35150-2480 | 2017-03-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.