MS. KELLY DANIELLE RYAN (NPI# 1164713608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164713608 |
| Entity Type | Individual |
| Full Name | MS. KELLY DANIELLE RYAN |
| Credential | D.O. |
| Practice Address |
9000 Franklin Square Dr Dept of Family Medicine Baltimore MD 21237-3901 |
| Practice Telephone | 4437772034 |
| Mailing Telephone | 4437772034 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2016-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
H78106 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528543337 | Kelly Ryan | Lactation Consultant, Non-RN | 3533 Michael Dr, San Mateo, CA 94403-4208 | 2018-09-27 |
| 1497116131 | Kelly Ryan | Physical Therapist | 15 Freeport Ave, Point Lookout, NY 11569-3015 | 2016-03-08 |
| 1124455258 | Kelly Lynn Ryan | Social Worker | 411 Meridian Ave, Apt 4, Miami Beach, FL 33139-6528 | 2013-10-03 |
| 1760738140 | Kelly K Ryan | Physical Therapy Assistant | 35 Holly Park Ln, #122, Lexington, VA 24450-3756 | 2012-08-03 |
| 1518196963 | Kelly Michelle Ryan | Pharmacist | 2200 Sw Gage Blvd Bldg 9, Topeka, KS 66622-2686 | 2009-07-07 |
| 1700091287 | Kelly Mccabe Ryan | Counselor | 27 Burgate St, Chepachet, RI 02814-2303 | 2007-05-10 |
| 1194806539 | Kelly Ryan | Physician Assistant | 263 Seventh Ave, 4b, Brooklyn, NY 11215 | 2006-10-18 |
| 1851360978 | Kelly Ann Ryan | Social Worker | 1021 Stuyve Scent Avenue, Union, NJ 07083 | 2006-03-14 |
| 1932748647 | Kelly Margaret Ryan | Behavior Technician | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903-2253 | 2019-12-27 |
| 1730739038 | Kelly Lynn Ryan | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2019-09-18 |
| Street Address |
9000 FRANKLIN SQUARE DR DEPT OF FAMILY MEDICINE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21237-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853070 | Mingxia Xi | Specialist | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2005-06-28 |
| 1750989125 | Lisa Distefano | Pharmacist | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-10-16 |
| 1720694490 | Medstar Medical Group II LLC | Health Educator | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-09-18 |
| 1205454535 | Taylor Leigh Hook | Physician Assistant | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-07-13 |
| 1326664954 | Rebecca Jo Hartnett | Counselor | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-06-19 |
| 1609491075 | Karen Polite-lamma | Registered Nurse | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-06-11 |
| 1386273076 | Seychelle Devries | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-04-03 |
| 1346879459 | Zachary Everette Darby | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-04-02 |
| 1609404474 | Kan Hong Zheng | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-03-29 |
| 1457989261 | Chrystal Lynette Pristell | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
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| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083069348 | Miranda Gordon-zigel | Family Medicine | 1420 Key Hwy, Baltimore, MD 21230-5546 | 2016-04-25 |
| 1356729040 | Edilberto Atienza Jr. | Family Medicine | 3407 Wilkens Ave, Baltimore, MD 21229 | 2015-05-13 |
| 1306071436 | Louis E Kovacs | Family Medicine | 3333 N Calvert St, Suite 210, Baltimore, MD 21218-2867 | 2009-05-19 |
| 1336374461 | Leonie Prao | Family Medicine | 3333 N Calvert St, Suite 210, Baltimore, MD 21218-2867 | 2009-05-19 |
| 1275694408 | Valerie Cothran | Family Medicine | 29 S Paca St, Baltimore, MD 21201-1771 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053677518 | Jonathan Damon Lawless | Family Medicine | 11120 New Hampshire Ave Ste 411, Silver Spring, MD 20904-2620 | 2012-04-09 |
| 1467644807 | Anne K. Rettig | Family Medicine | 12111 Darnestown Rd, Gaithersburg, MD 20878-2205 | 2007-08-09 |
| 1881765170 | Christian Nnamdi Nwankwo Jr. | Family Medicine | 17 Firstfield Rd, 2nd Floor, Gaithersburg, MD 20878-1774 | 2006-11-10 |
| 1265529762 | Christopher Edward Jonas | Family Medicine | 4301 Jones Bridge Rd Dept Of, Bethesda, MD 20814-4712 | 2006-10-06 |
| 1962448902 | Shahab Z Siddiqui | Family Medicine | 324 E Antietam St Ste 305, Hagerstown, MD 21740-5768 | 2006-06-20 |
| 1649256496 | John L Ferrell IIi | Family Medicine | 11300 Rockville Pike Ste 615, Rockville, MD 20852-3033 | 2005-12-22 |
| 1821502709 | Phillip Michael Morgan | Family Medicine | 1718 Belmont Ave Ste C, Windsor Mill, MD 21244-2552 | 2017-11-29 |
| 1124552302 | Phil Mor Fit | Family Medicine | 1718 Belmont Ave Ste C, Windsor Mill, MD 21244-2552 | 2017-04-14 |
| 1245609494 | University of Maryland Athletics-college Park | Family Medicine | 379 Field House Dr, College Park, MD 20742-0001 | 2015-09-17 |
| 1710375910 | University of Maryland Sports Medicine and Wellness, LLC | Family Medicine | 379 Field House Dr, College Park, MD 20742-5415 | 2014-12-23 |
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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.