GARRETT B. RYDER (NPI# 1043396039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043396039 |
| Entity Type | Individual |
| Full Name | GARRETT B. RYDER |
| Credential | M.D. |
| Practice Address |
3109 Common St Ste 106 Lake Charles LA 70601-8575 |
| Practice Telephone | 3375628100 |
| Practice Fax Number | 3375628356 |
| Mailing Telephone | 3375628100 |
| Mailing Fax Number | 3375628356 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2015-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | LO21127 | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1660019 | 05 |
| Street Address |
3109 COMMON ST STE 106 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952604001 | Ashley Medical of Monroe Inc. | Durable Medical Equipment & Medical Supplies | 3109 Common St, Ste 110, Lake Charles, LA 70601-8575 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| 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 |
|---|---|---|---|---|
| 1235436684 | Richard H. Kent M.d. Apmc | Specialist | 2912 Warren Ave, Lake Charles, LA 70601-8862 | 2011-02-22 |
| 1548405764 | J C Clement Inc. | Specialist | 1737 W. Sale Rd., Suite 103, Lake Charles, LA 70605 | 2008-12-03 |
| 1699920181 | Joy Charmaine Clement Derise | Specialist | 1737 W Sale Rd, Suite 103, Lake Charles, LA 70605-2579 | 2008-11-25 |
| 1053575589 | Tricia N Guidry | Specialist | 4150 Nelson Rd Ste C10, Lake Charles, LA 70605-4169 | 2008-07-14 |
| 1578739850 | Janice Lynn Huber | Specialist | 428 7th St, Lake Charles, LA 70601-6007 | 2008-05-06 |
| 1245429273 | Springer Family Medical Clinic LLC | Specialist | 601 Dr. Micheal Debakey, Lake Charles, LA 70601-5815 | 2007-10-16 |
| 1396935722 | Lynn E Foret Md | Specialist | 640 S Ryan St, Lake Charles, LA 70601-5727 | 2007-08-01 |
| 1619008075 | James M. Anderson | Specialist | 217 Dr Michael Debakey Dr, Lake Charles, LA 70601-5974 | 2007-03-08 |
| 1780789974 | Lake Charles Medical Services, Inc | Specialist | 2770 3rd Ave Ste 345, Lake Charles, LA 70601-8994 | 2006-09-13 |
| 1851334270 | William B Hart | Specialist | 1727 Imperial Blvd Ste B, Lake Charles, LA 70605-5362 | 2006-06-14 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on GARRETT B. RYDER.
| 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.