DR. STEPHEN M. RYAN (NPI# 1407949365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407949365 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN M. RYAN |
| Credential | M.D. |
| Practice Address |
800 N. 1st Street Springfield IL 62702 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 2175287541 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036-095308 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134531064 | Stephen Ryan | Developmental Therapist | 345a Greenwood St, Suite B, Worcester, MA 01607 | 2014-05-27 |
| 1073738589 | Stephen Michael Ryan | Massage Therapist | 473 N Main St, Canandaigua, NY 14424-1048 | 2007-04-17 |
| 1427190958 | Stephen Joseph Ryan | Physical Therapist | 1727 Martin Luther King Jr Way Ste 210, Oakland, CA 94612-1309 | 2007-02-13 |
| 1114082971 | Stephen M Ryan | Physician Assistant | 2401 Northampton St Ste 140, Easton, PA 18045-2764 | 2006-12-22 |
| 1255327359 | Stephen Daniel Ryan | Physical Therapist | 1190 Mount Aetna Rd, Hagerstown, MD 21740-6833 | 2005-09-23 |
| 1831629047 | Stephen Edward Ryan | Psychologist | 530 East Second Street, Duluth, MN 55805 | 2017-06-20 |
| 1205198686 | Stephen Thomas Ryan | Urology | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2012-06-12 |
| 1891909719 | Stephen Gregory Ryan | Physical Therapist | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2007-05-09 |
| 1619180593 | Stephen O Ryan | Counselor | 6150 Metrowest Blvd, Suite # 103, Orlando, FL 32835-3289 | 2007-05-08 |
| 1427107978 | Stephen Carme Ryan | Internal Medicine | 316 Martin Luther King Jr Way Ste 401, Tacoma, WA 98405-4266 | 2007-01-10 |
| Street Address |
800 N. 1ST STREET |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972615748 | Thomas E. Baron | Urology | 800 N. 1st Street, Springfield, IL 62702 | 2006-08-31 |
| 1427199934 | William Michael Davin | Massage Therapist | 800 N. 1st Street, Springfield, IL 62702 | 2007-02-08 |
| 1922149442 | Jeannette M Atcherson | Specialist/Technologist, Other | 800 N. 1st Street, Springfield, IL 62702 | 2007-02-08 |
| 1356424808 | Windie C. Mckay | Chiropractor | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-20 |
| 1265529283 | Mary A. Albers | Nurse Practitioner | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-10 |
| 1326136870 | Denise K. Mears | Nurse Practitioner | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-10 |
| 1235225780 | Claude J Fortin | Psychiatry & Neurology | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-04 |
| 1720172828 | John R. Trost | Surgery | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-03 |
| 1902990260 | John C. Shaffer | Obstetrics & Gynecology | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-03 |
| 1811081177 | Marten J. Sikorski | Podiatrist | 800 N. 1st Street, Springfield, IL 62702 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1962791632 | Rishi Subbarayan | Surgery | 960 16th St, Springfield, OR 97477-4175 | 2011-04-04 |
| 1720220759 | Kathleen M Lamb | Surgery | 446 Kent Rd, Springfield, PA 19064-3306 | 2009-04-06 |
| 1417943937 | Kim J Hodgson | Surgery | 340 W Miller St, Springfield, IL 62702-4928 | 2005-09-20 |
| 1275525743 | Michael D Addis | Surgery | 649 Morris Ave, Springfield, NJ 07081-1518 | 2005-08-19 |
| 1861496242 | Springfield Surgery PC | Surgery | 322 Northcrest Dr, Springfield, TN 37172-3963 | 2005-06-13 |
| 1497315873 | Shawn Poole | Surgery | 701 N 1st St # D346, Springfield, IL 62702-3757 | 2019-06-18 |
| 1952830473 | Ruhani Nanavati | Surgery | 701 N 1st St # D346, Springfield, IL 62702-3757 | 2017-06-08 |
| 1356894521 | Tian Zhang | Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2016-07-25 |
| 1730528563 | Emily Marie Serafin | Surgery | 800 N 1st St, Springfield, IL 62702 | 2013-06-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on DR. STEPHEN M. RYAN.
| 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.