DR. RYAN KEITH MIYAMOTO (NPI# 1245415454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245415454 |
| Entity Type | Individual |
| Full Name | DR. RYAN KEITH MIYAMOTO |
| Credential | MD |
| Practice Address |
1717 N E St 430 Pensacola FL 32501-6339 |
| Practice Telephone | 8504378711 |
| Mailing Telephone | 8504378711 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2017-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME126100 | FL | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 4301097056 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016158700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497923288 | Ryan Glenn Miyamoto | Orthopaedic Surgery | 3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758 | 2008-02-14 |
| Street Address |
1717 N E ST 430 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-6339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518478 | David T Casey | Ophthalmology | 1717 N E St, Ste 424, Pensacola, FL 32501-6333 | 2005-06-14 |
| 1619482957 | Toinetta Coolie | Nurse Practitioner | 1717 N E St, Pensacola, FL 32501-6339 | 2017-12-08 |
| 1629517917 | Evolve Podiatry LLC | Podiatrist | 1717 N E St, 116-a, Pensacola, FL 32501-6339 | 2017-02-20 |
| 1184171258 | Madeliene Hill | Physician Assistant | 1717 N E St, Pensacola, FL 32501-6339 | 2016-09-07 |
| 1689129108 | Kristin Bailey Leonard | Nurse Practitioner | 1717 N E St, Suite 331, Pensacola, FL 32501-6339 | 2016-08-25 |
| 1700249596 | Lacy Michelle Kusy | Nurse Practitioner | 1717 N E St, Suite 331, Pensacola, FL 32501 | 2016-03-30 |
| 1497112270 | Sherri Peete | Physician Assistant | 1717 N E St, Pensacola, FL 32501-6339 | 2016-01-25 |
| 1447615554 | Jessica Sinco | Physician Assistant | 1717 N E St, Suite 208, Pensacola, FL 32501-6339 | 2015-12-17 |
| 1053781948 | Edward A Hughes | Physician Assistant | 1717 N E St, Suite 530, Pensacola, FL 32501-6339 | 2015-10-05 |
| 1215316146 | Caitlin E Dalgo | Nurse Practitioner | 1717 N E St, Pensacola, FL 32501-6339 | 2015-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003141383 | Woodlands Medical Specialists P A | Urology | 2120 E Johnson Ave, Suite 100, Pensacola, FL 32514-6036 | 2009-10-05 |
| 1588999874 | Woodlands Medical Specialists P A | Urology | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2009-10-05 |
| 1659501146 | Woodlands Medical Specialists P A | Urology | 1717 N E St, Suite 430, Pensacola, FL 32501-6339 | 2009-07-20 |
| 1013178227 | Ashley B. King | Urology | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2008-06-19 |
| 1174784573 | Kevin Gerald Mahaffey | Urology | 6000 W Highway 98, Naval Hospital Urology, Pensacola, FL 32512-0001 | 2008-06-19 |
| 1063689297 | Ezekiel Young | Urology | 5153 North 9th Ave., Nemours Childrens Specialty Care, Pensacola, Pensacola, FL 32504-8785 | 2008-05-16 |
| 1679770051 | Jeffrey P Wolters | Urology | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2007-06-29 |
| 1972700565 | Margaret Elizabeth Speeker-cruit | Urology | 1717 N E St, Suite 430, Pensacola, FL 32501-6339 | 2007-06-28 |
| 1538251715 | Richard Evan Caesar | Urology | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2006-09-28 |
| 1265471536 | Robert A. Mevorach | Urology | 5153 N 9th Ave, Pensacola, FL 32504-8785 | 2006-06-05 |
| Find all providers in PENSACOLA | ||||
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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.