Stephen J Ryan


Address: 1727 Martin Luther King Jr Way, Suite 210, Oakland, CA 94612-1309
Phone: 5105477500

Stephen J Ryan (NPI# 1427190958, PAC ID# 4385601152) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1427190958
PAC ID by PECOS 4385601152
Professional Enrollment ID I20041213001069
Full Name Stephen J Ryan
Address 1727 Martin Luther King Jr Way
Suite 210
Oakland
CA 94612-1309
Phone Number 5105477500
Gender M
Credential PT
Graduation Year 1994
Primary Specialty PHYSICAL THERAPY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1727 Martin Luther King Jr Way, Suite 210, Oakland, CA 94612-1309 5105477500

Organization Information

Office Location

Street Address 1727 MARTIN LUTHER KING JR WAY
SUITE 210
City OAKLAND
State CA
Zip 94612-1309

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Competitor

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City OAKLAND
Zip Code 94612
Specialty PHYSICAL THERAPY
City + Specialty OAKLAND + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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