DR. RAYMOND KEVIN RYAN (NPI# 1154498152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154498152 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND KEVIN RYAN |
| Credential | M.D. |
| Practice Address |
1 Adirondack Pl Boston MA 02124-5603 |
| Practice Telephone | 7819416770 |
| Mailing Telephone | 7819416770 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 217482 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
217482 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2014408 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245406370 | Raymond Martin Ryan | Massage Therapist | 2366 Eastlake Avenue East, Suite 426, Seattle, WA 98102 | 2008-05-08 |
| 1235257882 | Raymond Richard Ryan | Optometrist | 6821 N Country Homes Blvd Ste 101, Spokane, WA 99208-4373 | 2007-03-26 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1821034117 | Raymond Timothy Ryan | Physical Therapist | 455 Lewis Ave, Meriden, CT 06451-2121 | 2006-06-22 |
| Street Address |
1 ADIRONDACK PL |
| City | BOSTON |
| State | MA |
| Zip Code | 02124-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626324 | Mary Jane Lim Fat | Psychiatry & Neurology | 450 Brookline Ave Dept Dana2, Boston, MA 02215-5418 | 2018-07-23 |
| 1801256094 | Lincoln S Darla X | Psychiatry & Neurology | 260 Tremont Street 2nd Floor, Tufts Medical Center, Biewend Building, Boston, MA 02111 | 2016-03-01 |
| 1407261605 | Lee Sullivan | Psychiatry & Neurology | 15 Parkman St # 720, Boston, MA 02114 | 2014-06-25 |
| 1093135048 | Pria Anand | Psychiatry & Neurology | 55 Fruit St Ste 835, Boston, MA 02114-2696 | 2014-04-17 |
| 1770925976 | Ammar Kheder | Psychiatry & Neurology | 55 Fruit Street, Epilepsy Service, Wang Acc 7, Massachusetts General Hospital, Boston, MA 02114 | 2013-07-29 |
| 1225477953 | Christopher T Doughty | Psychiatry & Neurology | 60 Fenwood Rd Dept Of, Boston, MA 02115 | 2013-06-16 |
| 1669815486 | Paloma Gonzalez Perez | Psychiatry & Neurology | 165 Cambridge St Fl 8, Boston, MA 02114-2747 | 2013-04-10 |
| 1417235557 | Reza Seyedsadjadi | Psychiatry & Neurology | 165 Cambridge St Ste 820, Boston, MA 02114 | 2011-07-22 |
| 1912216938 | Haythum Osama Tayeb | Psychiatry & Neurology | 55 Fruit Street (mailcode Wacc 8-835), Mass. General Hospital Dept. Neurology, Boston, MA 02114 | 2010-09-26 |
| 1508093675 | Sana Syed | Psychiatry & Neurology | 725 Shapiro, 716, Boston, MA 02118-2307 | 2009-06-16 |
| Find all providers in BOSTON | ||||
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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.