Ryan T Runyon (NPI# 1932115938, PAC ID# 4688636756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1932115938 |
PAC ID by PECOS | 4688636756 |
Professional Enrollment ID | I20041101000537 |
Full Name | Ryan T Runyon |
Organization Legal Name | PRINCETON FAMILY MEDICINE PLLC |
Address |
150 Misty Ln Princeton WV 24740-6462 |
Phone Number | 3044254040 |
Gender | M |
Credential | DO |
Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
Graduation Year | 2002 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 6103829767 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
510046 | PRINCETON COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
150 Misty Ln, Princeton, WV 24740-6462 | 3044254040 | PRINCETON FAMILY MEDICINE PLLC |
Organization Legal Name | PRINCETON FAMILY MEDICINE PLLC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donna G Southers | Physician Assistant | Princeton Family Medicine Pllc | 150 Misty Ln, Princeton, WV 24740-6462 |
Leah D Petrunger | Physician Assistant | Princeton Family Medicine Pllc | 904 Harrison St, Princeton, WV 24740-3011 |
Erika Marie Lou Powell | Physician Assistant | Princeton Family Medicine Pllc | 150 Misty Ln, Princeton, WV 24740-6462 |
Kelsey J Mills | Physician Assistant | Princeton Family Medicine Pllc | 904 Harrison St, Princeton, WV 24740-3011 |
Street Address |
150 MISTY LN |
City | PRINCETON |
State | WV |
Zip | 24740-6462 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donna G Southers | Physician Assistant | Princeton Family Medicine Pllc | 150 Misty Ln, Princeton, WV 24740-6462 |
Erika Marie Lou Powell | Physician Assistant | Princeton Family Medicine Pllc | 150 Misty Ln, Princeton, WV 24740-6462 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melody S Ponce | Nurse Practitioner | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
Dana O Olson | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
Michele Evans Smith | Certified Registered Nurse Anesthetist (crna) | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
Gopal M Pardasani | Pathology | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
Tammie L Smith | Psychologist, Clinical | 105 Gott Rd, Princeton, WV 24740-2103 | |
Nasreen R Dar | Psychiatry | 6 Quail Valley Medical Ctr, Princeton, WV 24740-2139 | |
Shahnaz I Rana | Internal Medicine | 100 New Hope Rd, Suite 208, Princeton, WV 24740-2143 | |
Find all physicians in zip 24740 |
City | PRINCETON |
Zip Code | 24740 |
Specialty | FAMILY MEDICINE |
City + Specialty | PRINCETON + FAMILY MEDICINE |
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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.