DR. RYAN JOHN DE LEE (NPI# 1104920693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104920693 |
| Entity Type | Individual |
| Full Name | DR. RYAN JOHN DE LEE |
| Credential | MD |
| Practice Address |
1007 Harlow Rd Suite 350 Springfield OR 97477-7124 |
| Mailing Address |
Po Box 1648 Eugene OR 97440-1648 |
| Practice Telephone | 5412841600 |
| Practice Fax Number | 5416843074 |
| Mailing Telephone | 5412841600 |
| Mailing Fax Number | 5416843074 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD161864 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500666820 | 05 |
| Street Address |
1007 HARLOW RD SUITE 350 |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-7124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467430959 | Harry H Park | Internal Medicine | 1007 Harlow Rd, Ste 210, Springfield, OR 97477-7124 | 2006-01-04 |
| 1740682640 | Amsurg Springfield Anesthesia LLC | Anesthesiology | 1007 Harlow Rd, Suite 110, Springfield, OR 97477-7124 | 2014-09-23 |
| 1306283411 | Mahrukh Nisar | Dermatology | 1007 Harlow Rd, Springfield, OR 97477 | 2013-05-30 |
| 1518231554 | Gateway Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1007 Harlow Rd, Suite 110, Springfield, OR 97477-7124 | 2012-03-07 |
| 1518251370 | Dane H Dougherty | Internal Medicine | 1007 Harlow Rd, Springfield, OR 97477-7124 | 2011-06-08 |
| 1649576281 | Kristen Sarah Foster | Physician Assistant | 1007 Harlow Rd, Suite 210, Springfield, OR 97477-7124 | 2011-01-30 |
| 1538345145 | William Allen Hinz | Internal Medicine | 1007 Harlow Rd, Suite 210, Springfield, OR 97477-7124 | 2008-01-14 |
| 1407031362 | Willamette Community Medical Group LLC | Durable Medical Equipment & Medical Supplies | 1007 Harlow Rd, Springfield, OR 97477-7124 | 2008-01-09 |
| 1063696789 | Marat Gadzhiev | Internal Medicine | 1007 Harlow Rd, Ste 210, Springfield, OR 97477-7124 | 2007-12-18 |
| 1942314992 | Laurie Anne Leece | Physician Assistant | 1007 Harlow Rd, Suite 310, Springfield, OR 97477-7124 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578805610 | Paul Edmond St. Romain | Internal Medicine | 2115 S Fremont Ave Ste 3300, Springfield, MO 65804-2246 | 2013-03-26 |
| 1598026494 | Yesenia Greeff | Internal Medicine | 3300 Main St Ste 3a, Springfield, MA 01199 | 2012-06-06 |
| 1649542713 | Robert Earl Stufflebam | Internal Medicine | 3895 E Pond Apple Dr, Springfield, MO 65809-3752 | 2012-02-03 |
| 1265668263 | Davis L Sim | Internal Medicine | 3355 Riverbend Dr 500, Springfield, OR 97477 | 2009-06-04 |
| 1558549428 | Cheng Zhang | Internal Medicine | 30 W Mccreight Ave Ste 211, Springfield, OH 45504-1853 | 2008-02-04 |
| 1114072444 | John N Green | Internal Medicine | 90 Us Highway 22 W, Springfield, NJ 07081-3110 | 2007-01-25 |
| 1801944632 | Srinivas Channapragada | Internal Medicine | 43 Green Hill Rd, Springfield, NJ 07081-3615 | 2007-01-08 |
| 1598778805 | Challa Ajit | Internal Medicine | 2355 Derr Rd, Springfield, OH 45503-2433 | 2006-08-15 |
| 1215975339 | Gregory Lloyd Lyford | Internal Medicine | 1001 East Primrose St, Springfield, MO 65807 | 2006-06-02 |
| 1467430959 | Harry H Park | Internal Medicine | 1007 Harlow Rd, Ste 210, Springfield, OR 97477-7124 | 2006-01-04 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on DR. RYAN JOHN DE LEE.
| 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.