CHARLES G RYAN JR. (NPI# 1548263627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548263627 |
| Entity Type | Individual |
| Full Name | CHARLES G RYAN JR. |
| Credential | M.D. |
| Practice Address |
6819 Crumpler Blvd Ste 101 Olive Branch MS 38654-1941 |
| Mailing Address |
Po Box 1000 Dept # 978 Memphis TN 38148-0001 |
| Practice Telephone | 6628905559 |
| Practice Fax Number | 6628938323 |
| Mailing Telephone | 6628905559 |
| Mailing Fax Number | 6628938323 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2018-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 24170 | TN | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 16676 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00121942 | 05 | |
| TN | BCBS | 6007056 | 01 |
| 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 |
| 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 |
| 1083672000 | Charles J. Ryan | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2006-05-01 |
| 1346243086 | Charles R Ryan | Obstetrics & Gynecology | 830 W High St, Ste 101, Lima, OH 45801-3968 | 2005-05-26 |
| Street Address |
6819 CRUMPLER BLVD STE 101 |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679076764 | Regina Rodgers Jackson | Nurse Practitioner | 6819 Crumpler Blvd Ste 101, Olive Branch, MS 38654-1941 | 2018-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740316470 | Cornerstone Women's Center, Pllc | Obstetrics & Gynecology | 6831 Crumpler Blvd, Suite 100, Olive Branch, MS 38654-1927 | 2007-02-26 |
| 1831295807 | Dabney J Hamner Jr. | Obstetrics & Gynecology | 5480 Goodman Rd Ste 2, Olive Branch, MS 38654-7902 | 2006-09-16 |
| 1811332638 | Sarah Kathleen Ziebarth | Obstetrics & Gynecology | 4250 Bethel Rd Fl 5, Olive Branch, MS 38654-8737 | 2013-05-07 |
| 1487909859 | Ja'larna J Grant | Obstetrics & Gynecology | 4250 Bethel Rd Fl 5, Olive Branch, MS 38654-8737 | 2012-07-20 |
| 1366762155 | Laxmisilpa Gadiparthi Hansen | Obstetrics & Gynecology | 5480 Goodman Rd, Suite 2, Olive Branch, MS 38654-7902 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1427512698 | Mildred Iona Clarke | Obstetrics & Gynecology | Coahoma Town Hall (city Hall), 325 Cherry St Circle 38617, Coahoma Miss., MS 38617 | 2019-01-22 |
| 1093211427 | Natchez Women's Center | Obstetrics & Gynecology | 46 Sgt Prentiss Dr Ste 301, Natchez, MS 39120-4753 | 2018-04-04 |
| 1013469816 | Alliance Health Partners LLC | Obstetrics & Gynecology | 255 Medical Center Dr, Suite B, Batesville, MS 38606 | 2016-10-27 |
| 1639412026 | Elaine K Kao | Obstetrics & Gynecology | 14231 Seaway Rd Ste 3004, Gulfport, MS 39503-4653 | 2013-04-03 |
| 1538423967 | Miguel A Luna Russo | Obstetrics & Gynecology | 1041s Madison St, Tupelo, MS 38801-6309 | 2012-06-29 |
| 1063771350 | Shimeka Lanette Banks | Obstetrics & Gynecology | 1307-b Airport Road North, Flowood, MS 39232-8897 | 2012-05-08 |
| 1043578784 | Meridian Ob/gyn, Pllc | Obstetrics & Gynecology | 1020 22nd Ave, Meridian, MS 39301-5001 | 2012-05-01 |
| 1609142306 | Eric Todd Siegel | Obstetrics & Gynecology | 128 Highland Pkwy Ste 202, Picayune, MS 39466-5578 | 2012-03-27 |
| 1386914000 | Oney Carstaffen Raines IIi | Obstetrics & Gynecology | 16 54th St, Gulfport, MS 39507-4601 | 2012-01-11 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
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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.