DR. DAVID MICHAEL RYAN (NPI# 1912918129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912918129 |
| Entity Type | Individual |
| Full Name | DR. DAVID MICHAEL RYAN |
| Credential | D.O. |
| Practice Address |
1410 N Pittsburg St Bldg. A Kennewick WA 99336-8211 |
| Mailing Address |
1410 N Pittsburgh St Bldg. A Kennewick WA 99336-8211 |
| Practice Telephone | 5093744166 |
| Practice Fax Number | 5093744167 |
| Mailing Telephone | 5093744166 |
| Mailing Fax Number | 5093744167 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2010-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 20A5788 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | OP00001368 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7128952 | 05 | |
| WA | MEDICARE PTAN | GAB29419 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770718314 | David Joseph Ryan | Surgery | 2210 Dean St Ste B, Saint Charles, IL 60175-1059 | 2009-05-27 |
| 1770784522 | David Hallmark Ryan | Obstetrics & Gynecology | 1101 Weaver Dairy Rd Ste 102, Chapel Hill, NC 27514-1790 | 2007-05-30 |
| 1992801997 | David Claude Ryan II | Family Medicine | 2931 Jarvis St, San Diego, CA 92106-2314 | 2006-09-16 |
| 1003929688 | David T Ryan | Chiropractor | 6040 Cleveland Ave, Columbus, OH 43231 | 2006-08-16 |
| 1134130131 | David Nathaniel Arthur Ryan | Family Medicine | 1008 Boll Weevil Cir, Suite B, Enterprise, AL 36330-1312 | 2006-08-11 |
| 1013908052 | David L Ryan | Family Medicine | 902 Custer St, Trenton, MO 64683-2238 | 2005-10-31 |
| 1518462217 | David Zachary Ryan | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2018-03-26 |
| 1982006110 | David Ryan | Nurse Practitioner | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2014-09-18 |
| 1437560349 | David Ryan | Pharmacist | 2222 Grass Valley Hwy, Auburn, CA 95603-2536 | 2014-05-13 |
| 1801158985 | David C Ryan | Dentist | 2731 W Evans Ave, Denver, CO 80219-5507 | 2012-06-13 |
| Street Address |
1410 N PITTSBURG ST BLDG. A |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-8211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558417634 | Pramod Sinha Dds Ms | Dentist | 1410 N Pittsburg St, Suite B2, Kennewick, WA 99336-8211 | 2007-01-25 |
| 1417049040 | Mary C Newman | Internal Medicine | 1410 N Pittsburg St, Bldg A, Kennewick, WA 99336-8211 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| 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 |
|---|---|---|---|---|
| 1609304559 | Thomas Carl Sorensen | Family Medicine | 9040 W Clearwater Ave, Kennewick, WA 99336-8635 | 2017-05-23 |
| 1699960245 | Marvin Flores Roman | Family Medicine | 7201 W Grandridge Blvd Ste 100, Kennewick, WA 99336-6709 | 2007-09-06 |
| 1861698987 | Tri-cities Community Health | Family Medicine | 3180 W Clearwater Ave Ste A, Kennewick, WA 99336 | 2007-06-25 |
| 1619184025 | Jennifer Candice Charron | Family Medicine | 3900 S. Zintel Way, Kennewick, WA 99338 | 2007-05-16 |
| 1053459578 | Maria Aleli Tabio Ello | Family Medicine | 4309 W. 27th Ave., Suite 301, Kennewick, WA 99336-0128 | 2007-02-05 |
| 1619034980 | David M Ryan, D.o. | Family Medicine | 1410 N Pittsburg St Ste A, Kennewick, WA 99336-8211 | 2007-01-03 |
| 1447311261 | John A Friedline | Family Medicine | 8911 W Grandridge Blve Suite B, Kadlec Clinic Primary Care, Kennewick, WA 99336 | 2006-12-13 |
| 1114007614 | Mark Francis Macfarlan | Family Medicine | 7525 W Deschutes Pl Ste 1a, Kennewick, WA 99336-7748 | 2006-10-17 |
| 1184665697 | Crystal Dawnelle Dickerson | Family Medicine | 721 S Auburn St, Kennewick, WA 99336-5629 | 2006-06-08 |
| 1184661522 | Raymond Herbert Sjerven | Family Medicine | 813 S Auburn St, Kennewick, WA 99336-5661 | 2006-06-02 |
| Find all providers in KENNEWICK | ||||
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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.