MR. MARK KENNETH RYAN (NPI# 1669447637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669447637 |
| Entity Type | Individual |
| Full Name | MR. MARK KENNETH RYAN |
| Credential | CRNP MSN |
| Practice Address |
30549 Sussex Hwy Laurel DE 19956-3891 |
| Practice Telephone | 3027155214 |
| Practice Fax Number | 3026286855 |
| Mailing Telephone | 3027155214 |
| Mailing Fax Number | 3026286855 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2016-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0000752 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AC000091 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | AC000091 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 403638700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942719638 | Mark Conley Ryan | Counselor | 3800 Power Inn Rd, Sacramento, CA 95826-4333 | 2017-09-25 |
| 1023354388 | Mark Daniel Ryan | Dentist | 9 Briarcliff Prof Ctr, Ste D, Bourbonnais, IL 60914-2423 | 2012-12-13 |
| 1487970133 | Mark Alan Ryan | Community/Behavioral Health | 2617 Sw 63rd St, Oklahoma City, OK 73159-1715 | 2010-04-19 |
| 1306171194 | Mark Allen Ryan | Counselor | 3242 Quincy St, Butte, MT 59701-4444 | 2009-10-12 |
| 1912038514 | Mark C Ryan | Social Worker | 360 9th Ave, Floor 2, Brooklyn, NY 11215 | 2007-03-08 |
| 1740322049 | Mark T Ryan | Dentist | 622 Savin Avenue, West Haven, CT 06516-4936 | 2007-02-13 |
| 1477626828 | Mark Harvey Ryan | Dentist | 7500 E Mcdonald Drive, Ste 101 B, Scottsdale, AZ 85250 | 2006-11-15 |
| 1568020626 | Mark Ryan | Physician Assistant | 6 Hatfield St, Northampton, MA 01060-1556 | 2019-06-04 |
| 1568709475 | Mark Ryan | Psychologist | 45 Franklin St, San Francisco, CA 94102-6017 | 2013-01-11 |
| 1659513919 | Mark Mcgrath Ryan | Internal Medicine | 2114 Creighton Road, A, Pensacola, FL 32504 | 2009-04-01 |
| Street Address |
30549 SUSSEX HWY |
| City | LAUREL |
| State | DE |
| Zip Code | 19956-3891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841683844 | Kristi Rebecca Nichols | Nurse Practitioner | 30549 Sussex Hwy, Laurel, DE 19956-3891 | 2015-03-15 |
| 1710229711 | Donna Gail Hitchens | Nurse Practitioner | 30549 Sussex Hwy, Laurel, DE 19956-3846 | 2013-03-18 |
| 1033247325 | Sandra Mancilla | Family Medicine | 30549 Sussex Hwy, Laurel, DE 19956-3891 | 2007-03-01 |
| 1114965167 | Joseph Hill Kim | Family Medicine | 30549 Sussex Hwy, Laurel, DE 19956-3891 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073021911 | Arlene Patricia Wood | Counselor | 517 Willow Street, Laurel, DE 19956 | 2018-01-12 |
| 1356897094 | Abigail Siple | Speech-Language Pathologist | 1160 South Central Ave, Laurel, DE 19956 | 2016-09-01 |
| 1750739207 | Erin Johnson | Specialist/Technologist | 14323 Laurel Rd, Laurel, DE 19956 | 2016-05-25 |
| 1922192434 | Antonio Pedro | Internal Medicine | 1124 South Central Ave, Laurel, DE 19956 | 2006-10-02 |
| 1043311095 | Shellene Marie Ball | Psychologist | 11023 Joe Warrington Dr, Laurel, DE 19956 | 2006-09-25 |
| 1972670479 | Janice M Mccandless Bruce | Registered Nurse | 11023 Joe Warrington Dr, Laurel, DE 19956 | 2006-11-29 |
| 1093800401 | Odilon Claravall | Internal Medicine | 1124 South Central Ave, Laurel, DE 19956 | 2006-10-03 |
| 1396804829 | Laurel Senior Center, Inc. | Psychologist | 113 N. Central Ave., Laurel, DE 19956-0064 | 2006-12-08 |
| 1326174699 | Kathy Guthrie | Counselor | 111 Mechanic St, Laurel, DE 19956-1004 | 2007-02-23 |
| 1588984769 | Raffaela Ballard | Counselor | 111 Mechanic St, Laurel, DE 19956-1004 | 2010-06-10 |
| Find all providers in zip 19956 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291870 | Fatoumata Ba | Nurse Practitioner | 9900 Washington Blvd N Ste L, Laurel, MD 20723-1972 | 2020-10-03 |
| 1396350484 | Serene Care Holdings | Nurse Practitioner | 14118 Bowsprit Ln Apt 806, Laurel, MD 20707-6318 | 2020-09-15 |
| 1649880626 | Oak Healthcare Services LLC | Nurse Practitioner | 11601 Duckettown Road, Laurel, MD 20708 | 2020-08-05 |
| 1003425844 | We Walk Together | Nurse Practitioner | 8406 Shadeland Rd, Laurel, MD 20724-1922 | 2020-07-28 |
| 1952919870 | Lauren Abbie Collins | Nurse Practitioner | 32504 Mount Pleasant Rd, Laurel, DE 19956-4246 | 2020-07-16 |
| 1215552302 | Ulrica Olayinka Mbayo | Nurse Practitioner | 3201 Orient Fishtail Rd, Laurel, MD 20724-2931 | 2020-06-15 |
| 1962027599 | Olive Mouafo | Nurse Practitioner | 10100 Snowdrift Downs, Laurel, MD 20723-5873 | 2020-06-09 |
| 1295355832 | Sonia Louis-lapierre | Nurse Practitioner | 9397 3rd St N, Laurel, MD 20723-1922 | 2020-04-23 |
| 1699311571 | Ijeoma D. Anyaibe | Nurse Practitioner | 8101 Sandy Spring Rd Ste 110, Laurel, MD 20707-3596 | 2019-11-26 |
| 1699311712 | Adebisi Allison | Nurse Practitioner | 9319 Player Dr, Laurel, MD 20708-3229 | 2019-11-24 |
| Find all providers in LAUREL | ||||
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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.