JOHN BERNARD RYAN (NPI# 1396968947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396968947 |
Entity Type | Individual |
Full Name | JOHN BERNARD RYAN |
Practice Address |
4172 Pilot Knob Rd Eagan MN 55122-1816 |
Mailing Address |
4943 Whispering Way Eagan MN 55122-4033 |
Practice Telephone | 6516831006 |
Practice Fax Number | 6518905762 |
Mailing Telephone | 6518959352 |
Mailing Fax Number | 6518905762 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 111N00000X | Chiropractor | 2743 | MN | Chiropractic Providers |
X | 183500000X | Pharmacist | 1130953 | MN | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BLUE CROSS BLUE SHIELD | 64821 RY | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104155969 | John Richard Ryan | Registered Nurse | 160 Black Water Ln, Lexington, KY 40511-8861 | 2009-12-08 |
1740423946 | John F Ryan | Anesthesiology | Massachusetts General Hospital, 50 Blossom Street, Boston, MA 02114 | 2009-04-17 |
1902071673 | John Joseph Ryan | Internal Medicine | Division of Cardiology University of Utah, 50 North Medical Dr, Salt Lake City, UT 84132-0100 | 2008-04-24 |
1861697252 | John Paul Ryan | Pharmacist | 1100 Salem Avenue, Dayton, OH 45406 | 2007-06-18 |
1184828410 | John Gerard Ryan | Radiology | Mallinckrodt Institute of Radiology - Barnesjewish Hosp, 510 South Kingshighway Blvd., Saint Louis, MO 63110 | 2007-06-12 |
1003934431 | John J Ryan | Dentist | 39 Webber Rd, East Hampstead, NH 03826-2462 | 2007-03-26 |
1164559316 | John Patrick Ryan | Specialist/Technologist | 885 Broadway, Bangor High School, Bangor, ME 04401-2916 | 2007-02-27 |
1255470670 | John Thomas Ryan | Social Worker | 23 Sly St, Canandaigua, NY 14424-1809 | 2007-02-05 |
1770660078 | John W. Ryan | Dentist | 116 Spring St, Red Bank, NJ 07701-2426 | 2006-11-01 |
1205919909 | John Joseph Ryan | Family Medicine | 7482 Waterside Crossing Blvd, Suite 202, Denver, NC 28037-3005 | 2006-10-24 |
Street Address |
4172 PILOT KNOB RD |
City | EAGAN |
State | MN |
Zip Code | 55122-1816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
Find all providers in zip 55122 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982259685 | Harmony Health Chiropractic Plc | Chiropractor | 3324 Promenade Ave Ste 106, Eagan, MN 55121-2260 | 2019-08-08 |
1922572387 | Truecare Chiropractic | Chiropractor | 1981 Silver Bell Rd, Eagan, MN 55122-3174 | 2019-01-17 |
1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
1518366764 | Kimberly Capes | Chiropractor | 1981 Silver Bell Rd # 700, Eagan, MN 55122-3174 | 2014-08-13 |
1710302930 | Brittany Freese | Chiropractor | 1121 Town Centre Dr Ste 202, Eagan, MN 55123-1370 | 2014-02-25 |
1518207133 | Nathan Michael Cornelius | Chiropractor | 1965 Cliff Lake Rd Ste 103, Eagan, MN 55122-2591 | 2013-02-19 |
1962741538 | Chelsey A Henney | Chiropractor | 1959 Shawnee Rd Ste 110, Eagan, MN 55122-1216 | 2013-02-01 |
1477898286 | Lance Gary Brisky | Chiropractor | 4397 Malmo Cir, Eagan, MN 55123-1737 | 2012-12-05 |
1740541960 | Jacob Thomas Lesher | Chiropractor | 1565 Thomas Center Dr, Eagan, MN 55122-2642 | 2012-06-05 |
1023379526 | Jason Bolen | Chiropractor | 1380 Duckwood Dr, 102, Eagan, MN 55123-1090 | 2012-06-01 |
Find all providers in EAGAN |
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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.