COLLEEN E RYAN (NPI# 1326040783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326040783 |
Entity Type | Individual |
Full Name | COLLEEN E RYAN |
Other Name | COLLEEN R CORRODI |
Credential | MD |
Practice Address |
1350 Main St Walpole MA 02081-1718 |
Practice Telephone | 5086682200 |
Practice Fax Number | 5086686539 |
Mailing Telephone | 5086682200 |
Mailing Fax Number | 5086686539 |
Enumeration Date | 2005-08-15 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 79455 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CMSP/HSP | 36145 | 01 | |
AETNA/US HEALTHCARE | 4514287 | 01 | |
TUFTS | 079455 | 01 | |
AETNA/US HEALTHCARE HMO | 920717 | 01 | |
MEDICAID-MA | 3125998 | 01 | |
MEDICAL LIC | 79455 | 01 | |
BCBS-MA | J14629 | 01 | |
HPHC | 200481 | 01 | |
CIGNA | 9314935 | 01 | |
OXFORD | P2967576 | 01 | |
MA | 3125998 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841633997 | Colleen Daun Ryan | Counselor | 1333 Johnson Ave, San Luis Obispo, CA 93401-3313 | 2013-04-08 |
1225368723 | Colleen A Ryan | Psychologist | N1563 County Road H, Palmyra, WI 53156-9738 | 2010-01-05 |
1952408007 | Colleen M. Ryan | Family Medicine | 8501 Wilshire Blvd Ste 200, Beverly Hills, CA 90211-3128 | 2006-09-20 |
1518967041 | Colleen Marie Ryan | Family Medicine | 814 Muirfield Rd, Keller, TX 76248-8228 | 2005-07-27 |
1952878274 | Colleen Jean Ryan | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2018-10-24 |
1760806814 | Colleen Ryan | Registered Nurse | 1075 Horace St, Toledo, OH 43606-4859 | 2014-02-10 |
1629418785 | Colleen M Ryan | Licensed Practical Nurse | 7475 Morgan Rd, Apt 6-11, Liverpool, NY 13090-3921 | 2013-07-03 |
1235383274 | Colleen Ryan | Nurse Practitioner | 1015 W Lawrence Ave, Heartland Health Outreach (2nd Floor), Chicago, IL 60640-5017 | 2008-11-04 |
1952551574 | Colleen J Ryan | Marriage & Family Therapist | 2121 W Temple St, Los Angeles, CA 90026-4915 | 2008-09-19 |
1154590248 | Colleen Anne Ryan | Psychiatry & Neurology | 300 Longwood Ave, Bader 5, Boston, MA 02115-5724 | 2008-02-22 |
Street Address |
1350 MAIN ST |
City | WALPOLE |
State | MA |
Zip Code | 02081-1718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255332821 | Andrew J Arrison | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2005-08-09 |
1477892032 | Matthew John Feeley | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2013-02-01 |
1366644122 | Frances Ann Orlando | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2007-06-04 |
1619034543 | Dominic Ralph Caruso | Dentist | 1350 Main St, Walpole, MA 02081-1718 | 2007-01-02 |
1710055967 | Walpole Pediatric Assoc., PC | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2006-12-04 |
1396707550 | Rachel Levenson Acker | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2006-04-04 |
1730140799 | Catherine Callaghan | Nurse Practitioner | 1350 Main St, Walpole, MA 02081 | 2006-03-30 |
1548261993 | Michael A Freiberger | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2005-08-09 |
1538160981 | Peter B Cohn | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2005-08-09 |
1174524524 | Denise R Shiu | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2005-08-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740647122 | Nicole Rose Kelley | Specialist | 63 Edgewood Ave, Walpole, MA 02081 | 2016-01-15 |
1962886176 | Christina Gironda | Social Worker | 16 Nectar Rd, Walpole, MA 02081 | 2015-07-17 |
1578833125 | Audra Louise Cohen | Counselor | 95 West St., Walpole, MA 02081 | 2012-01-12 |
1093913048 | Kurt Thomas Herman | Dentist | 841 Maint St, Walpole, MA 02081 | 2007-07-10 |
1265654784 | Robert James Memory | Dentist | 841 Main Street, Walpole, MA 02081 | 2007-05-03 |
1194811505 | Donald Roy Gedarovich | Internal Medicine | 1426 Main Street, Suite 5, Walpole, MA 02081 | 2006-10-04 |
1417050295 | Nancy J Stechler | Psychologist | 1600 Providence Hwy, Walpole, MA 02081 | 2006-09-06 |
1386662997 | James G Farnham | Social Worker | Colony Care Behavioral Health, 841 Main Street, Walpole, MA 02081 | 2006-07-18 |
1023087848 | Suzanne R Posner | Social Worker | 95 West Street, Walpole, MA 02081 | 2006-03-15 |
1821065640 | Boston Healthcare Inc | Clinic/Center | 420 Main St, Suite 15, Walpole, MA 02081 | 2006-03-01 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255332821 | Andrew J Arrison | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2005-08-09 |
1477892032 | Matthew John Feeley | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2013-02-01 |
1366644122 | Frances Ann Orlando | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2007-06-04 |
1710055967 | Walpole Pediatric Assoc., PC | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2006-12-04 |
1396707550 | Rachel Levenson Acker | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2006-04-04 |
1548261993 | Michael A Freiberger | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2005-08-09 |
1538160981 | Peter B Cohn | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2005-08-09 |
1174524524 | Denise R Shiu | Pediatrics | 1350 Main St, Walpole, MA 02081-1718 | 2005-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265030720 | Mebe Massachusetts | Pediatrics | 51 Pleasant St # 1002, Malden, MA 02148-4904 | 2020-10-15 |
1801407564 | Catherine M. Vu Morrissey | Pediatrics | 451 Centre St, Milton, MA 02186-4118 | 2020-08-14 |
1962025379 | Elizabeth Mary Messineo | Pediatrics | 40 Greenhill Rd, Westwood, MA 02090-2704 | 2020-05-20 |
1639790280 | Allison Seats | Pediatrics | 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 | 2020-05-05 |
1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
1346871183 | Pm Pediatrics of New England | Pediatrics | 99 Commerce Way, Woburn, MA 01801-5199 | 2020-01-30 |
1346871381 | Heather Mccaslin Kempczinski | Pediatrics | 360 Beacon St Apt 1, Boston, MA 02116-1063 | 2020-01-29 |
1396388278 | Taylor Cinelli | Pediatrics | 203 John Scott Blvd, Norton, MA 02766-2616 | 2019-10-23 |
1972145290 | Lauren Nicole Mabe | Pediatrics | 45 Gordon St Apt 3, Allston, MA 02134-2458 | 2019-10-09 |
1417508946 | Devin Veronica Parker | Pediatrics | 2 Crescent St, Plympton, MA 02367-1400 | 2019-09-25 |
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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.