JOHN B RYAN (NPI# 1023000882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023000882 |
| Entity Type | Individual |
| Full Name | JOHN B RYAN |
| Credential | M.D. |
| Practice Address |
11012 E 13 Mile Rd Suite 201 Warren MI 48093-2572 |
| Mailing Address |
29900 Lorraine Ave Suite 400 Warren MI 48093-5266 |
| Practice Telephone | 5865820760 |
| Practice Fax Number | 5865825729 |
| Mailing Telephone | 5865820864 |
| Mailing Fax Number | 5865820964 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2013-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
4301068798 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4528910 | 05 | |
| MI | BCBS PIN # | JR068798 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104155969 | John Richard Ryan | Registered Nurse | 160 Black Water Ln, Lexington, KY 40511-8861 | 2009-12-08 |
| 1740423946 | John F Ryan | Anesthesiology | Massachusetts General Hospital, 50 Blossom Street, Boston, MA 02114 | 2009-04-17 |
| 1902071673 | John Joseph Ryan | Internal Medicine | Division of Cardiology University of Utah, 50 North Medical Dr, Salt Lake City, UT 84132-0100 | 2008-04-24 |
| 1861697252 | John Paul Ryan | Pharmacist | 1100 Salem Avenue, Dayton, OH 45406 | 2007-06-18 |
| 1184828410 | John Gerard Ryan | Radiology | Mallinckrodt Institute of Radiology - Barnesjewish Hosp, 510 South Kingshighway Blvd., Saint Louis, MO 63110 | 2007-06-12 |
| 1396968947 | John Bernard Ryan | Chiropractor | 4172 Pilot Knob Rd, Eagan, MN 55122-1816 | 2007-04-11 |
| 1003934431 | John J Ryan | Dentist | 39 Webber Rd, East Hampstead, NH 03826-2462 | 2007-03-26 |
| 1164559316 | John Patrick Ryan | Specialist/Technologist | 885 Broadway, Bangor High School, Bangor, ME 04401-2916 | 2007-02-27 |
| 1255470670 | John Thomas Ryan | Social Worker | 23 Sly St, Canandaigua, NY 14424-1809 | 2007-02-05 |
| 1770660078 | John W. Ryan | Dentist | 116 Spring St, Red Bank, NJ 07701-2426 | 2006-11-01 |
| Street Address |
11012 E 13 MILE RD SUITE 201 |
| City | WARREN |
| State | MI |
| Zip Code | 48093-2572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896519 | Edward F Burke | Orthopaedic Surgery | 11012 E 13 Mile Rd, Suite 112, Warren, MI 48093-2572 | 2005-07-22 |
| 1184086118 | Elizabeth Cogswell | Orthotist | 11012 E 13 Mile Rd, Ste 210, Warren, MI 48093-2572 | 2016-03-29 |
| 1013376763 | Kamila Anna Malinowska | Obstetrics & Gynecology | 11012 E 13 Mile Rd, Warren, MI 48093-2572 | 2016-02-22 |
| 1760856629 | Sairah Safdar | Occupational Therapist | 11012 E 13 Mile Rd, Suite 200, Warren, MI 48093-2572 | 2015-11-16 |
| 1710322045 | Amy Katherine Doepker | Physical Therapist | 11012 E 13 Mile Rd, Suite 200, Warren, MI 48093-2572 | 2013-04-30 |
| 1639420458 | Caitlin N Lukasik | Occupational Therapist | 11012 E 13 Mile Rd, Ste. 200, Warren, MI 48093-2572 | 2012-09-20 |
| 1437450020 | Francine Ivey | Physical Therapist | 11012 E 13 Mile Rd, Suite 200, Warren, MI 48093-2572 | 2010-11-12 |
| 1851539498 | Southfield Rehabilitation Company | General Acute Care Hospital | 11012 E 13 Mile Rd, Suite 111, Warren, MI 48093-2572 | 2009-02-04 |
| 1528206562 | Southfield Rehabilition Company | Clinic/Center | 11012 E 13 Mile Rd, Suite 112a, Warren, MI 48093-2572 | 2009-01-29 |
| 1245480581 | Zena G Yousif | Surgery | 11012 E 13 Mile Rd, Suite 112, Warren, MI 48093-2572 | 2008-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427465517 | Anthony Stephen Berdis | Orthopaedic Surgery | 1695 Niles Cortland Road Ne Ste 2, Warren, OH 44484 | 2014-07-21 |
| 1235121138 | Steven T Plomaritis | Orthopaedic Surgery | 28001 Schoenherr Rd, Suite 3, Warren, MI 48088-4396 | 2005-08-17 |
| 1649678475 | Steven T. Plomaritis, Pllc | Orthopaedic Surgery | 28001 Schoenherr Rd, Suite 3, Warren, MI 48088-4396 | 2014-12-10 |
| 1205037694 | Michigan Surgery Specialist Dba Teitge Orthopaedic Associates | Orthopaedic Surgery | 3272 E 12 Mile Rd, Suite 108, Warren, MI 48092-5622 | 2007-05-31 |
| 1780809574 | Robert Brian Kohen | Orthopaedic Surgery | 28800 Ryan Rd, Suite 220, Warren, MI 48092-4272 | 2007-04-16 |
| 1083765028 | Robert A Teitge Md PC | Orthopaedic Surgery | 3272 E 12 Mile Rd, Suite 108, Warren, MI 48092-5622 | 2007-01-16 |
| 1134111032 | Ronald T Rook | Orthopaedic Surgery | 11012 E 13 Mile Rd, Suite 201, Warren, MI 48093-2572 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1689871576 | Stacy Ann Frye | Orthopaedic Surgery | 3960 Patient Care Dr Ste 113, Lansing, MI 48911-4279 | 2007-07-02 |
| 1215075106 | Carl Henry Wierks | Orthopaedic Surgery | 1000 E Paris Ave Se Ste 215, Grand Rapids, MI 49546-3680 | 2007-02-02 |
| 1003909524 | Mfb Professional Services Inc | Orthopaedic Surgery | 1155 E. Paris, Ste 200, Grand Rapids, MI 49546 | 2006-10-02 |
| 1598878266 | Abdallah Simaika | Orthopaedic Surgery | 2797 Applegate Rd, Po Box 55, Applegate, MI 48401-9752 | 2006-08-16 |
| 1689662405 | Richard M Howell | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2005-10-06 |
| 1457961716 | Justin Michael Schupbach | Orthopaedic Surgery | 24 Frank Lloyd Wright Dr Lbby A, Ann Arbor, MI 48105-9484 | 2020-08-03 |
| 1053945923 | Pure Performance Orthopedics & Sports Medicine | Orthopaedic Surgery | 27207 Lahser Rd Ste 108, Southfield, MI 48034-2168 | 2020-02-28 |
| 1396377131 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2020-02-10 |
| 1477011591 | Shannon Elizabeth Manno | Orthopaedic Surgery | 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 | 2019-03-07 |
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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.