DR. WALTER MATTHEW RYAN III (NPI# 1073503843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073503843 |
| Entity Type | Individual |
| Full Name | DR. WALTER MATTHEW RYAN III |
| Credential | DO |
| Practice Address |
350 Nw 84th Ave Suite 205 Plantation FL 33324-1817 |
| Mailing Address |
11880 Sw 40th St Suite 304 Miami FL 33175-3584 |
| Practice Telephone | 9544724848 |
| Practice Fax Number | 9544728500 |
| Mailing Telephone | 3052238808 |
| Mailing Fax Number | 3052238974 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2015-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | OS10177 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 279624400 | 05 |
| Street Address |
350 NW 84TH AVE SUITE 205 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367722 | Eduardo Fernandez | Radiology | 350 Nw 84th Ave, Suite 102, Plantation, FL 33324-1817 | 2005-06-22 |
| 1063964534 | Royal Palm Beach Rehab, Corp. | Neuromusculoskeletal Medicine, Sports Medicine | 350 Nw 84th Ave, Suite 200, Plantation, FL 33324-1817 | 2016-10-31 |
| 1922478213 | Physical Therapy Institute and Aquatic Rehab, Inc | Physical Therapist | 350 Nw 84th Ave, Suite 207, Plantation, FL 33324-1817 | 2015-09-30 |
| 1104296748 | Courtney L Alhomsi | Nurse Practitioner | 350 Nw 84th Ave, Suite 300, Plantation, FL 33324-1817 | 2015-09-25 |
| 1285003632 | Royal Palm Beach Rehab, Corp | Physical Therapist | 350 Nw 84th Ave, Suite 207, Plantation, FL 33324-1817 | 2015-09-16 |
| 1750750105 | Action Physical Therapy, LLC | Physical Therapist | 350 Nw 84th Ave, Suite 207, Plantation, FL 33324-1817 | 2015-09-16 |
| 1942685367 | Agnieszka Barbara Slowik | Nurse Practitioner | 350 Nw 84th Ave, Plantation, FL 33324-1817 | 2015-07-27 |
| 1700264744 | Associates In Family Practice of Broward LLC | Family Medicine | 350 Nw 84th Ave, Suite 200b, Plantation, FL 33324 | 2015-05-11 |
| 1255613667 | Alan M. Lazar, M.d., P.a. | Non-Pharmacy Dispensing Site | 350 Nw 84th Ave, Suite 206, Plantation, FL 33324-1817 | 2011-09-12 |
| 1003114430 | John W N Foster Md Pa | Family Medicine | 350 Nw 84th Ave, Suite 108, Plantation, FL 33324-1817 | 2011-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407408586 | Priya Ahya | Allergy & Immunology | 817 S University Dr Ste 106, Plantation, FL 33324-3345 | 2019-07-10 |
| 1639303852 | James Tracy | Allergy & Immunology | 817 S University Dr, #106, Plantation, FL 33324-3309 | 2009-05-04 |
| 1588632533 | Shahnaz Fatteh | Allergy & Immunology | 817 S University Dr, Suite 106, Plantation, FL 33324-3309 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419876 | North Star Allergy, Asthma, & Immunology, P.a. | Allergy & Immunology | 900 Carillon Pkwy Ste 301, St Petersburg, FL 33716-1115 | 2020-02-18 |
| 1528604253 | Mark Minor Md Pa | Allergy & Immunology | 2290 W Eau Gallie Blvd Ste 205, Melbourne, FL 32935-3145 | 2019-11-18 |
| 1194366963 | Ami Degala, Pllc | Allergy & Immunology | 40 Forest Ct, Palm Harbor, FL 34683-3811 | 2019-10-03 |
| 1770143729 | Melissa Michelle Swertfeger | Allergy & Immunology | 6233 66th St N, Pinellas Park, FL 33781-5025 | 2019-06-20 |
| 1235612771 | Luis Enrique Morera | Allergy & Immunology | 21150 Biscayne Blvd Ste 408, Aventura, FL 33180-1250 | 2018-09-11 |
| 1215417191 | Allergy, Asthma and Immunology Specialists, LLC | Allergy & Immunology | 7100 Camino Real Ste 121, Boca Raton, FL 33433-5510 | 2018-08-20 |
| 1811475213 | Juan Guillermo Angel | Allergy & Immunology | 11880 Sw 40th St Ste 304c, Miami, FL 33175-3574 | 2018-07-30 |
| 1831682814 | Lake Allergy, Asthma and Immunology, Pa | Allergy & Immunology | 1822 Salk Ave, Tavares, FL 32778-4300 | 2018-06-13 |
| 1194191346 | Jo Ridley LLC | Allergy & Immunology | 16372 Hibiscus Rd, Brooksville, FL 34601-4352 | 2015-08-11 |
| 1477964195 | Inessa Rachel Bachove | Allergy & Immunology | 3365 Burns Rd Ste 206, Palm Beach Gardens, FL 33410-4303 | 2014-05-15 |
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| City | PLANTATION |
| Zip Code | 33324 |
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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.