DR. CHARLES J. RYAN (NPI# 1083672000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083672000 |
| Entity Type | Individual |
| Full Name | DR. CHARLES J. RYAN |
| Credential | MD |
| Practice Address |
909 Fulton St Se Minneapolis MN 55455-4800 |
| Mailing Address |
1635 Divisadero Street, Suite 625, Box 1821 San Francisco CA 94143-0001 |
| Practice Telephone | 6126727422 |
| Mailing Telephone | 4154764029 |
| Mailing Fax Number | 4154764150 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A83236 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
64731 | MN | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
A83236 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0A8323600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Divisadero Street, San Francisco, CA 941430001 | 4153537171 | 4153537093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144642737 | Charles Ryan | Counselor | 6706 N 9th Ave Ste B6, Pensacola, FL 32504-7378 | 2014-01-15 |
| 1891036778 | Charles Joseph Ryan IIi | Surgery | 3077 E Lake Rd, Skaneateles, NY 13152-9024 | 2013-03-02 |
| 1568479764 | Charles H Ryan | Physician Assistant | 1270 W Silverlake Rd, Tucson, AZ 85713-2728 | 2006-08-01 |
| 1548263627 | Charles G Ryan Jr. | Obstetrics & Gynecology | 6819 Crumpler Blvd Ste 101, Olive Branch, MS 38654-1941 | 2005-05-23 |
| 1427324953 | Charles E Ryan | Social Worker | 10200 W 44th Ave, Suite 130, Wheat Ridge, CO 80033-2837 | 2012-03-29 |
| 1205936077 | Charles Ryan | Pediatrics | 3340 Providence Dr, Ste 500, Anchorage, AK 99508-4616 | 2006-09-22 |
| 1346243086 | Charles R Ryan | Obstetrics & Gynecology | 830 W High St, Ste 101, Lima, OH 45801-3968 | 2005-05-26 |
| Street Address |
909 FULTON ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365122 | Gary L Bryant | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2005-06-10 |
| 1437756848 | Kelsey Larsen | Pharmacist | 909 Fulton St Se, Attn: 1st Floor Pharmacy 1.273, Minneapolis, MN 55455-4800 | 2020-10-08 |
| 1518572254 | Rachel Elizabeth Kraemer | Audiologist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-09-10 |
| 1912527268 | Becca Marie Mahnesmith | Nurse Practitioner | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-04-16 |
| 1073142212 | Emily Kline | Health Educator | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-04-08 |
| 1689200024 | Zach Rivers | Pharmacist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-03-17 |
| 1518506138 | Carrie Leigh Kwiatkowski | Specialist/Technologist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-12-30 |
| 1801432414 | Abigail Denise Conrad | Physician Assistant | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-11-19 |
| 1700428497 | Ashley Herman | Dietitian, Registered | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-10-14 |
| 1104471275 | Holly Heewon Lee | Genetic Counselor, MS | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780879940 | Heather Christine Beckwith | Internal Medicine | 424 Harvard St Se Fl 1, Masonic Cancer Center, Minneapolis, MN 55455-0362 | 2007-09-11 |
| 1083648075 | Amy K. Krie | Internal Medicine | 800 E 28th St Ste 404, Minneapolis, MN 55407-3723 | 2006-07-10 |
| 1922083336 | Joseph W Leach | Internal Medicine | 910 E 26th Street #200, Minnesota Oncology Hematology Pa, Minneapolis, MN 55404 | 2005-12-08 |
| 1720212467 | Christian Michael Squillante | Internal Medicine | 800 E 28th St Ste 401, Minneapolis, MN 55407-3723 | 2009-05-11 |
| 1902062433 | Emil Lou | Internal Medicine | 424 Harvard St Se, Masonic Cancer Clinic, University of Minnesota, Minneapolis, MN 55455-0362 | 2008-08-04 |
| 1780768937 | Bruce A Peterson | Internal Medicine | University of Minnesota Physicians, 420 Delaware Street Se, Minneapolis, MN 55455 | 2006-10-24 |
| 1497845861 | Robert Arthur Kratzke | Internal Medicine | 424 Harvard St Se, Masonic Cancer Center, First Floor, Suite M100, Minneapolis, MN 55455-0362 | 2006-10-13 |
| 1871691709 | Dale E Hammerschmidt | Internal Medicine | 424 Harvard St Se, Masonic Cancer Center, First Floor, Suite M100, Minneapolis, MN 55455-0362 | 2006-09-21 |
| 1578668174 | Kathryn E Dusenbery | Internal Medicine | 500 Harvard St Se, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-09-14 |
| 1760467427 | Dean H Gesme Jr. | Internal Medicine | 910 E 26th St, Suite 200, Minneapolis, MN 55404-4526 | 2005-12-14 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on DR. CHARLES J. RYAN.
| 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.