MR. MATTHEW MICHAEL RYAN SR. (NPI# 1124341557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124341557 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW MICHAEL RYAN SR. |
| Credential | R.N./E.M.T.-B |
| Practice Address |
189 Front St Deposit NY 13754-1127 |
| Practice Telephone | 6074676303 |
| Mailing Telephone | 6074676303 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
625623 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757436 | Matthew Ryan | Registered Nurse | 7250 Haynesfield Ln, Knoxville, TN 37918-8151 | 2020-07-14 |
| 1003951500 | Matthew Michael Ryan | Psychiatry & Neurology | 800 N W 9th Street, Suite 100, Oklahoma City, OK 73106 | 2007-02-21 |
| 1407912157 | Matthew Walter Ryan | Chiropractor | 206 E May St, Winder, GA 30680-7127 | 2006-12-28 |
| 1265436257 | Matthew Dennis Ryan | Dentist | 4350 Marconi Ave, Suite 300, Sacramento, CA 95821-4379 | 2005-06-08 |
| 1639725237 | Matthew Walter Ryan | Physician Assistant | 80 Seymour St, Hartford Hospital Er Dept, Hartford, CT 06102-5037 | 2019-08-11 |
| 1760040026 | Matthew Ryan | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2019-06-03 |
| 1528428000 | Matthew Ryan | Social Worker | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2016-02-26 |
| 1962834598 | Matthew F Ryan | Counselor | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2013-08-06 |
| 1396085783 | Matthew K Ryan | Physical Therapist | 11801 Upper Potomac Indstrl Park St Sw, Cumberland, MD 21502-5139 | 2013-02-21 |
| 1023366721 | Matthew Hepner Ryan | Psychologist | 1990 S Bundy Dr Ste 320, Los Angeles, CA 90025-5249 | 2012-08-28 |
| Street Address |
189 FRONT ST |
| City | DEPOSIT |
| State | NY |
| Zip Code | 13754-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558308627 | Julie A Barnes | Nurse Practitioner | 5 College Ave, Windsor Family Care Center, Windsor, NY 13754 | 2006-05-31 |
| 1508202185 | Jessica J. Stanton | Social Worker | 171 Second Street, Deposit, NY 13754 | 2013-05-22 |
| 1154971455 | Akela Dix | Licensed Practical Nurse | 52 4th St, Deposit, NY 13754-1024 | 2019-09-18 |
| 1275541054 | Browns Prescription Pharmacy of Deposit Inc | Pharmacy | 115 Front St, Deposit, NY 13754-1111 | 2006-08-04 |
| 1346254133 | Gerald Anderson Knapp | Dentist | 119 Front St, Deposit, NY 13754-1111 | 2006-07-28 |
| 1598388944 | Browns Prescription Pharmacy, Inc | Pharmacy | 115 Front St, Deposit, NY 13754-1111 | 2020-05-20 |
| 1386727618 | Jeffrey A. Hempstead | Pharmacist | 115 Front St, Deposit, NY 13754-1111 | 2006-10-23 |
| 1578513305 | Walker Physical Therapy,pc | Physical Therapist | 137 Front St, Deposit, NY 13754-1128 | 2006-05-11 |
| 1295865509 | Phyllis D Walker | Physical Therapist | 137 Front St, Deposit, NY 13754-1128 | 2007-03-06 |
| 1912037243 | Les A Walker | Chiropractor | 137 Front St, Deposit, NY 13754-1128 | 2007-03-06 |
| Find all providers in zip 13754 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1750846267 | Shaedele Renise Desamours | Registered Nurse | 1825 Park Ave Fl 8, New York, NY 10035-1641 | 2019-02-08 |
| 1417459546 | Kristie Matos | Registered Nurse | 2778 3rd Ave, Bronx, NY 10455-4029 | 2018-03-05 |
| 1982116166 | Angela Douglas | Registered Nurse | 1001 E 55th St, Brooklyn, NY 11234-1701 | 2017-10-28 |
| 1669994497 | Sheila Lenora Eastmond-chapman | Registered Nurse | 547 Pine St, Brooklyn, NY 11208-3901 | 2017-07-13 |
| 1184160814 | Christopher Cox | Registered Nurse | 46 5th Ave S, Huntington Station, NY 11746-2343 | 2017-01-19 |
| 1518401629 | Fawn Erin Medina | Registered Nurse | 2920 Wilson Avenue, Bronx, NY 10469 | 2016-12-08 |
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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.