DR. RYAN KENNETH BLECK (NPI# 1568877546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568877546 |
| Entity Type | Individual |
| Full Name | DR. RYAN KENNETH BLECK |
| Credential | DO |
| Practice Address |
208 Columbus St Hicksville OH 43526-1250 |
| Practice Telephone | 4195427729 |
| Practice Fax Number | 4195427838 |
| Mailing Telephone | (419) 542-7729 |
| Mailing Fax Number | 4195427838 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2017-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34.012817 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11017965A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
208 COLUMBUS ST |
| City | HICKSVILLE |
| State | OH |
| Zip Code | 43526-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477549962 | Laverne L Miller | Family Medicine | 208 Columbus St, Hicksville, OH 43526-1250 | 2005-09-21 |
| 1104455344 | Elizabeth Heitmeyer | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1250 | 2020-04-08 |
| 1255990180 | Samantha Jo Kimpel | Massage Therapist | 208 Columbus St, Hicksville, OH 43526-1250 | 2019-06-13 |
| 1275090094 | Conner Yoder | Dietitian, Registered | 208 Columbus St, Hicksville, OH 43526-1250 | 2019-02-28 |
| 1912480039 | Crystal M. Trabel | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1299 | 2018-09-14 |
| 1164915021 | Community Memorial Hospital | Clinic/Center | 208 Columbus St, Hicksville, OH 43526-1250 | 2018-06-14 |
| 1033623962 | Julanne Marie Luderman | Dietitian, Registered | 208 Columbus St, Hicksville, OH 43526-1250 | 2017-11-30 |
| 1891206272 | Angela Marie Newman | Social Worker | 208 Columbus St, Hicksville, OH 43526-1250 | 2017-10-12 |
| 1952783821 | Natallia Lamantia | Dietitian, Registered | 208 Columbus St, Hicksville, OH 43526-1250 | 2015-06-26 |
| 1598165888 | Tara Garza | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1250 | 2014-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447534177 | Desare R Wilhelm | Massage Therapist | 104 E. High St., Hicksville, OH 43526 | 2011-09-29 |
| 1326133380 | Michael Stewart Boggs | Dentist | 106 North Bryan Street, Hicksville, OH 43526 | 2006-10-04 |
| 1831201417 | Julie K Barth | Audiologist | 119 N. Main St, Hicksville, OH 43526 | 2006-08-31 |
| 1730145392 | Community Memorial Hospital | Clinic/Center | 208 Columbus Street, Hicksville, OH 43526 | 2006-04-24 |
| 1356580294 | Vasavi K Reddy | Family Medicine | 208 Columbus Street, Hicksville, OH 43526 | 2009-02-17 |
| 1326685728 | Chelsea Kelly Dds LLC | Dentist | 106 N Bryan St, Hicksville, OH 43526-1004 | 2019-12-04 |
| 1003431073 | Macy Marie Bradbury | Physician Assistant | 217 N Bryan St, Hicksville, OH 43526-1005 | 2020-06-15 |
| 1386650141 | Ryan David Bagley | Chiropractor | 102 Old Mill Rd, Hicksville, OH 43526-1083 | 2006-08-01 |
| 1114188679 | Bagley Family Chiropractic, LLC | Chiropractor | 501 W High St, Hicksville, OH 43526-1083 | 2008-06-18 |
| 1033316419 | Brent A Roth Dc Inc | Chiropractor | 501 W High St, Hicksville, OH 43526-1083 | 2007-06-29 |
| Find all providers in zip 43526 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497182661 | Mzf Medical Services P.C. | Family Medicine | 100 W Nicholai St, Hicksville, NY 11801-3887 | 2013-10-03 |
| 1912231010 | Nisreen J. Ezzi | Family Medicine | 341 Jerusalem Ave, Hicksville, NY 11801-5549 | 2009-09-23 |
| 1225280589 | Lawrence Yang | Family Medicine | 412 S Broadway, Hicksville, NY 11801-5009 | 2008-10-17 |
| 1073671384 | Patricia J. Tassinari | Family Medicine | 750 South Broadway, Hicksville, NY 11801-5017 | 2006-12-05 |
| 1053372169 | Haleh G Mohseni | Family Medicine | 350 South Broadway, Hicksville, NY 11801 | 2006-03-29 |
| 1790390292 | Omari Chubinidze Medical PC | Family Medicine | 100 Newbridge Rd Ste 6, Hicksville, NY 11801-3948 | 2020-09-11 |
| 1477985836 | 570 Medical, P.C. | Family Medicine | 92 E Old Country Rd, Hicksville, NY 11801-4217 | 2013-08-07 |
| 1578801528 | Plainview Family Medicine, Pllc | Family Medicine | 368 S Oyster Bay Rd, Hicksville, NY 11801-3508 | 2013-01-26 |
| 1437446705 | Miriam Riaz | Family Medicine | 350 S Broadway, Hicksville, NY 11801-5006 | 2011-07-07 |
| 1477789667 | Eric David Blacher | Family Medicine | 350 S Broadway, Hicksville, NY 11801-5006 | 2009-06-02 |
| Find all providers in HICKSVILLE | ||||
| City | HICKSVILLE |
| Zip Code | 43526 |
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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.