DR. RYAN RIDGWAY SULLIVAN (NPI# 1063701241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063701241 |
| Entity Type | Individual |
| Full Name | DR. RYAN RIDGWAY SULLIVAN |
| Credential | MD |
| Practice Address |
120 Spalding Dr Ste 307 Naperville IL 60540 |
| Mailing Address |
120 Spalding Dr Ste 307 Naperville IL 60540-6521 |
| Practice Telephone | 6305273000 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 036.140279 | IL | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
036.140279 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871022418 | Ryan Daniel Sullivan | Counselor | 480 Vision Way, Bayfield, CO 81122 | 2017-06-07 |
| 1396149944 | Ryan Esley Sullivan | Mechanotherapist | 325 John Knox Rd Bldg T Ste 1, Tallahassee, FL 32303-4166 | 2014-10-10 |
| 1174605653 | Ryan A Sullivan | Internal Medicine | 2198 Us Highway 31 S, Manistee, MI 49660-9618 | 2006-10-20 |
| 1366078495 | Ryan John Sullivan | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-03-20 |
| 1104387869 | Ryan Michael Sullivan | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2019-03-26 |
| 1548738982 | Ryan Christopher Sullivan | Social Worker | 7309 Lazy Creek Dr, Austin, TX 78724-3211 | 2018-11-04 |
| 1447743232 | Ryan Sean Sullivan | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2018-06-07 |
| 1760972285 | Ryan Sullivan | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2018-05-10 |
| 1679099170 | Ryan Edward Sullivan | Social Worker | 285 Main Street, Cshhc-west Haven Health Center Counseling Services, West Haven, CT 06516-7307 | 2017-08-16 |
| 1124554571 | Ryan Sullivan | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2017-05-04 |
| Street Address |
120 SPALDING DR STE 307 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245694421 | Joan Marie Mrozek | Social Worker | 120 Spalding Dr Ste 307, Naperville, IL 60540-6521 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578901799 | Kevin Christopher Bigart | Orthopaedic Surgery | 688 Cedar Crossings Dr, New Lenox, IL 60451-5200 | 2013-06-10 |
| 1174899207 | Sara Wallace | Orthopaedic Surgery | 5814 S Maryland Ave # Mc3079, Chicago, IL 60637 | 2012-03-22 |
| 1699909887 | Anand Srinivasan | Orthopaedic Surgery | 2850 Ridge Ave, Ste 880, Evanston, IL 60201 | 2009-05-04 |
| 1114184058 | Denis Nam | Orthopaedic Surgery | 1611 W Harrison St Ste 300, Chicago, IL 60612 | 2008-05-19 |
| 1376610634 | Gregg Michael Moga | Orthopaedic Surgery | 6025 Pebble Creek Ct, Gurnee, IL 60031-4722 | 2006-11-29 |
| 1134233299 | Raymond Donald Santucci | Orthopaedic Surgery | 5n467 Curling Pond Rd # 533, Wayne, IL 60184-2226 | 2006-08-18 |
| 1407835135 | Wayne Paprosky | Orthopaedic Surgery | 25 North Winfield Rd, Winfield, IL 60190 | 2006-01-11 |
| 1154321222 | Piero Capecci | Orthopaedic Surgery | 800 N 1st St, Springfield, IL 62702-3719 | 2005-07-29 |
| 1528445152 | Korey Douglas Partenheimer | Orthopaedic Surgery | 5841 S Maryland Ave, M/c 3079, Chicago, IL 60637-1443 | 2015-05-04 |
| 1922495068 | Darren Plummer | Orthopaedic Surgery | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2015-04-15 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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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.