MR. JEFFREY SCOTT RYAN (NPI# 1033358700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033358700 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY SCOTT RYAN |
| Credential | CSAC |
| Practice Address |
3301b N Ballard Rd Appleton WI 54911-8988 |
| Practice Telephone | 9207334443 |
| Practice Fax Number | 9207334796 |
| Mailing Telephone | 9207334443 |
| Mailing Fax Number | 9207334796 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15254 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861682783 | Jeffrey Lloyd Ryan | Dentist | 1900 Krutchen Court South, Suite 100, Sartell, MN 56377 | 2007-07-26 |
| 1881778637 | Jeffrey Ryan | Family Medicine | 411 New Karner Rd, Albany, NY 12205-3809 | 2006-10-25 |
| 1730652181 | Jeffrey Brice Ryan | Behavior Technician | 6475 Sierra Ln, Dublin, CA 94568-2796 | 2019-01-08 |
| 1114264462 | Jeffrey J. Ryan | Nurse Anesthetist, Certified Registered | 1200 Maple Rd, Joliet, IL 60432-1439 | 2013-01-07 |
| 1386744316 | Jeffrey Ryan | Internal Medicine | 820 S Damen Ave, M/c 111, Chicago, IL 60612-3728 | 2006-09-22 |
| 1891774196 | Jeffrey Ryan | Physician Assistant | 1100 W 2700 N, Pleasant View, UT 84404-4791 | 2006-01-13 |
| 1396736955 | Jeffrey C Ryan | Pediatrics | 3801 Computer Dr, Suite 200, Raleigh, NC 27609-6506 | 2005-11-02 |
| Street Address |
3301B N BALLARD RD |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-8988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891933370 | Morgan J Kelley | Licensed Practical Nurse | 3301b N Ballard Rd, Appleton, WI 54911-8988 | 2009-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373843 | Life Counseling & Consulting, LLC | Counselor | 101 W Edison Avenue, Suite 117, Appleton, WI 54915-1930 | 2019-12-13 |
| 1699233270 | A Village LLC | Counselor | 2031 E Calumet St, Appleton, WI 54915-4742 | 2019-03-04 |
| 1578081766 | Erin Bozich | Counselor | 1000 N Lynndale Dr Ste C, Appleton, WI 54914-3057 | 2017-09-07 |
| 1124542709 | Anthony Edward Klingert | Counselor | 3003 N Richmond St # A, Appleton, WI 54911-1148 | 2017-07-26 |
| 1043661036 | Wisconsin Lutheran Child & Family Service | Counselor | 5300 N Meade St, Appleton, WI 54913-8383 | 2016-06-30 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| 1356766406 | Renee Taylor | Counselor | 201 S Glenridge Ct, Appleton, WI 54914-3905 | 2014-02-26 |
| 1720351729 | James Edward Reider | Counselor | 3301 3301 N. Ballard Road, Appleton, WI 54911-9002 | 2012-02-22 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| Find all providers in APPLETON | ||||
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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.