MICHAEL J RYAN (NPI# 1821039025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821039025 |
| Entity Type | Individual |
| Full Name | MICHAEL J RYAN |
| Credential | M.D. |
| Practice Address |
232 S Whisperwood Way Boise ID 83709-4900 |
| Mailing Address |
Po Box 9649 Boise ID 83707-4649 |
| Practice Telephone | 2083506450 |
| Mailing Telephone | 2084728100 |
| Mailing Fax Number | 2083441926 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M5502 | ID | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | M5502 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 003908900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990594 | Michael Ryan | Counselor | 15309 Diamond Cove Ter Apt B, Rockville, MD 20850-4687 | 2020-07-28 |
| 1003367202 | Michael Ryan | Physical Therapist | 1312 3rd St N, Jacksonville Beach, FL 32250-7348 | 2016-10-23 |
| 1124470562 | Michael Ryan | Specialist/Technologist | 2002 Cripplecreek Dr, Ladson, SC 29456-3072 | 2016-07-11 |
| 1073882668 | Michael Nixon Ryan | Obstetrics & Gynecology | 106 Hidden Pt, Hendersonville, TN 37075-5546 | 2011-12-28 |
| 1386887453 | Michael G. Ryan | Physical Medicine & Rehabilitation | 1335 E Republic Rd, Suite D, Springfield, MO 65804-7204 | 2009-04-19 |
| 1831355189 | Michael Thomas Ryan | Podiatrist | 518 Myoma Rd, Mars, PA 16046-2324 | 2008-08-05 |
| 1992963581 | Michael T Ryan | Pharmacist | 374 North Ave, Dunellen, NJ 08812-1221 | 2008-05-30 |
| 1386861128 | Michael Lawrence Ryan | Specialist/Technologist | 2053 Enclave Drive, Trussville, AL 35173 | 2007-04-20 |
| 1144365321 | Michael Patrick Ryan | Dentist | 17061 Harlem Ave, Tinley Park, IL 60477-2739 | 2007-02-21 |
| 1689739203 | Michael T. Ryan IIi | Chiropractor | 9 Nahant St, Lynn, MA 01902-3221 | 2006-12-26 |
| Street Address |
232 S WHISPERWOOD WAY |
| City | BOISE |
| State | ID |
| Zip Code | 83709-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295742948 | Glenn R. Waite | Family Medicine | 232 S Whisperwood Way, Boise, ID 83709-4900 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881074201 | Lindsey Wells | General Practice | 2537 W State St Ste 110, Boise, ID 83702-2200 | 2015-06-01 |
| 1265824312 | Drugshield Inc | General Practice | 3085 N Cole Rd, Ste 108, Boise, ID 83704-5968 | 2015-02-26 |
| 1487926564 | Boise Image Enhancement Centre, Inc. | General Practice | 9382 W Overland Rd, Boise, ID 83709-2505 | 2012-02-03 |
| 1780987164 | Optigenics LLC | General Practice | 1317 W River St, Boise, ID 83702-6857 | 2010-12-07 |
| 1932411576 | Isara Group Inc. | General Practice | 702 W Idaho St, Suite 1100, Boise, ID 83702-8901 | 2010-07-12 |
| 1205819950 | Kirk A. Campana | General Practice | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2005-11-28 |
| 1285262246 | Olivia Nicole Roehling | General Practice | 500 W Fort St, Mailstop #111r, Boise, ID 83702-4501 | 2020-03-27 |
| 1285971416 | Children's Home Society of Idaho | General Practice | 740 E Warm Springs Ave, Boise, ID 83712-6420 | 2013-01-08 |
| 1104179670 | Zldmd Pllc | General Practice | 6000 W Overland Rd, Boise, ID 83709-3013 | 2012-10-22 |
| 1639481286 | Nomsiri Group Inc | General Practice | 950 W Bannock St, Suite 1100, Boise, ID 83702-5999 | 2010-07-12 |
| Find all providers in BOISE | ||||
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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.