RYAN DOUGLAS EUBANKS (NPI# 1447517040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447517040 |
| Entity Type | Individual |
| Full Name | RYAN DOUGLAS EUBANKS |
| Credential | D.O. |
| Practice Address |
4160 John R St Ste 615 Detroit MI 48201-2022 |
| Practice Telephone | 3137454195 |
| Mailing Telephone | 3137454195 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2018-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 5101023176 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 390200000 | AZ | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679949200 | Ryan Eubanks | Nurse Anesthetist, Certified Registered | 115 Apalachee Dr, Leesburg, GA 31763-5214 | 2015-08-18 |
| Street Address |
4160 JOHN R ST STE 615 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497995641 | Todd Thornton Lavery | Surgery | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2009-03-01 |
| 1831711928 | Ucheze Chinwendu Ononuju | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2020-05-11 |
| 1962024497 | Erica Maduakolam | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2020-05-06 |
| 1477173912 | Lindsay Blair Howard | Surgery | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2020-04-24 |
| 1982224614 | Benjamin T James | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2020-04-22 |
| 1588207948 | Ryan Douglas Rosen | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2019-10-17 |
| 1467016642 | Paige Aiello | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2019-04-24 |
| 1922661313 | Ryan H. Berry | Internal Medicine | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2019-04-21 |
| 1518456763 | Maseray Saidu Kamara | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2018-05-03 |
| 1861989410 | Brittany R Milliner | Student in an Organized Health Care Education/Training Program | 4160 John R St Ste 615, Detroit, MI 48201-2022 | 2018-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922236983 | Tolga Gursel | Plastic Surgery | 4160 John R St, Suite 615, Detroit, MI 48201-2020 | 2009-06-29 |
| 1609000819 | Delorean Q Griffin | Plastic Surgery | 4160 John R, 400, Detroit, MI 48202-2819 | 2009-05-04 |
| 1750524534 | Rachel C Hooper | Plastic Surgery | 2799 W Grand Blvd, Henry Ford Hospital K-16, Detroit, MI 48202-2689 | 2009-04-09 |
| 1720228349 | Ruthie Mccrary | Plastic Surgery | 3990 John R St, Suite 400, Detroit, MI 48201-2018 | 2009-02-22 |
| 1437395308 | Faisal M Almufarrej | Plastic Surgery | 3901 Beaubien St, Detroit, MI 48201-2119 | 2008-12-26 |
| 1164631024 | Guillermina Nava | Plastic Surgery | 4160 John R St, Suite 615, Detroit, MI 48201-2020 | 2007-05-21 |
| 1679694400 | Dunya Mary Atisha | Plastic Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-04-02 |
| 1063538429 | University Surgeons | Plastic Surgery | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-03-21 |
| 1023171659 | Aamir Siddiqui | Plastic Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-18 |
| 1487717013 | Donna G. Tepper | Plastic Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-18 |
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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.