DR. RYAN JOSEPH DONOVAN (NPI# 1245478726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245478726 |
| Entity Type | Individual |
| Full Name | DR. RYAN JOSEPH DONOVAN |
| Credential | D.M.D. |
| Practice Address |
14361 Metropolis Ave Ste 3 Fort Myers FL 33912-4453 |
| Mailing Address |
16312 Crown Arbor Way Apt 201 Fort Myers FL 33908-5677 |
| Practice Telephone | 2399314141 |
| Practice Fax Number | 2399314140 |
| Mailing Telephone | 2394700908 |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2012-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN 18030 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEA | FD1592117 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669088712 | Ryan Donovan | Specialist/Technologist | 4 Paul Ave, Peabody, MA 01960-2620 | 2020-09-23 |
| 1376669341 | Ryan Dean Donovan | Chiropractor | 23220 Maple Valley Black Diamond Rd Se, Suite 13, Maple Valley, WA 98038-5225 | 2007-03-22 |
| 1881650364 | Ryan J Donovan | Physician Assistant | 20 York St, Cb-2041, New Haven, CT 06510-3220 | 2006-04-25 |
| 1871981936 | Ryan Michael Donovan | Physical Therapist | 480 Johnson Rd, Suite 303, Washington, PA 15301-8936 | 2014-12-24 |
| Street Address |
14361 METROPOLIS AVE STE 3 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205145521 | Vani Bhatnagar Prabakaran | Dentist | 34 Barkley Cir, Fort Myers, FL 33907-7530 | 2010-10-04 |
| 1831419456 | Anne Lindsey Broderick | Dentist | 7011 Cypress Ter, Suite 101, Fort Myers, FL 33907-8800 | 2010-06-04 |
| 1174649636 | Ronny S. Taschner | Dentist | 1645 Medical Ln, Fort Myers, FL 33907-1110 | 2007-03-22 |
| 1639271299 | Kenneth Allen Jandik | Dentist | 35 Barkley Cir Ste 1, Fort Myers, FL 33907-7531 | 2006-09-03 |
| 1043323223 | George M Kazakos | Dentist | 6323 Corporate Ct, Ste B, Fort Myers, FL 33919-3506 | 2006-08-15 |
| 1679736003 | Jennifer F. Taschner | Dentist | 1645 Medical Ln, Fort Myers, FL 33907-1110 | 2008-07-07 |
| 1376656942 | Angel R Santiago | Dentist | 6323 Corporate Ct, Suite B, Fort Myers, FL 33919-3506 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344354 | Philipkjosephsllc | Dentist | 161 Monterey Bay Dr, Boynton Beach, FL 33426-8438 | 2020-10-21 |
| 1194322651 | Peter Tsambazis Dmd, Inc | Dentist | 6654 Collier Blvd Unit 104, Naples, FL 34114-8179 | 2020-10-07 |
| 1265041578 | Lauren Elise Steinberg | Dentist | 7301 W Palmetto Park Rd Ste 303a, Boca Raton, FL 33433-3458 | 2020-07-23 |
| 1306462213 | Miami Healthy Smiles | Dentist | 8861 Sw 69th Ct, Pinecrest, FL 33156-1605 | 2020-06-17 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1437785847 | Modern Dental Cape Coral Pllc | Dentist | 706 Sw Pine Island Rd, Suite 103, Cape Coral, FL 33991 | 2020-03-17 |
| 1437783792 | Anthony Joseph Michelotti | Dentist | 3331 Briarwood Cir, Safety Harbor, FL 34695-4691 | 2020-02-26 |
| 1417595893 | Park Plaza Dental Care | Dentist | 1144 N Federal Hwy, Pompano Beach, FL 33062-4322 | 2019-12-16 |
| 1619538832 | George Edward Tolson V | Dentist | 1739 E Commercial Blvd, Oakland Park, FL 33334-5737 | 2019-06-27 |
| 1396203485 | Michael Steven Liss | Dentist | 2600 N Military Trl Ste 310, Boca Raton, FL 33431-6315 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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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.