CORY M RYAN (NPI# 1467443879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467443879 |
| Entity Type | Individual |
| Full Name | CORY M RYAN |
| Credential | MD |
| Practice Address |
166 Hospital St Monticello KY 42633-2416 |
| Practice Telephone | 6063489343 |
| Practice Fax Number | 6063403258 |
| Mailing Telephone | 6063489343 |
| Mailing Fax Number | 6063403258 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 38039 | KY | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 38039 | KY | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 38039 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE GROUP | 0340 | 01 |
| KY | ANTHEM BC & BS | 000000545017 | 01 |
| KY | NPI | 1467443879 | 01 |
| KY | 64059199 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962446930 | Cory Louise Ryan | Physician Assistant | 10020 Professional Center Dr., #120, Hamburg, MI 48189-9715 | 2006-06-16 |
| 1447809876 | Cory Ryan | Physician Assistant | 15532 Bear Valley Rd, Victorville, CA 92395 | 2019-09-09 |
| Street Address |
166 HOSPITAL ST |
| City | MONTICELLO |
| State | KY |
| Zip Code | 42633-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399236 | Kimberly Ann Langford | Nurse Practitioner | 166 Hospital St, Monticello, KY 42633-2430 | 2020-09-02 |
| 1669015103 | Jessica Renea Mckinney | Nurse Practitioner | 166 Hospital St, Monticello, KY 42633-2430 | 2019-10-28 |
| 1962927004 | Lora Erin Mobley | Nurse Practitioner | 166 Hospital St, Monticello, KY 42633-2430 | 2017-08-10 |
| 1801324405 | Piedmont Physicians Pllc | Emergency Medicine | 166 Hospital St, Monticello, KY 42633-2430 | 2017-05-25 |
| 1255880597 | Ashley N Rutledge | Nurse Practitioner | 166 Hospital St, Monticello, KY 42633-2430 | 2016-09-28 |
| 1427421056 | Shirley Lynn Pittman | Dietitian, Registered | 166 Hospital St, Monticello, KY 42633-2416 | 2015-11-04 |
| 1154714442 | Deanna Neal | Nurse Practitioner | 166 Hospital St, Monticello, KY 42633-2430 | 2015-03-10 |
| 1700216264 | Rebecca Eicher Albright | Nurse Practitioner | 166 Hospital St, Monticello, KY 42633-2416 | 2013-11-20 |
| 1326345513 | Robin Cherron Duncan | Nurse Practitioner | 166 Hospital St, Monticello, KY 42633-2416 | 2011-02-24 |
| 1841501947 | Wayne County Hospital, Inc | Family Medicine | 166 Hospital St, Monticello, KY 42633-2416 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1942847686 | Burgess Drug Store Inc. | Pharmacy | 1 S. Creek Dr., Ste. #122, Monticello, KY 42633 | 2019-12-02 |
| 1639729460 | Lake Cumberland Therapy Center, Inc. | Developmental Therapist | 153 High Street, Monticello, KY 42633 | 2019-09-13 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1669936621 | Alisa D Wallace | Case Manager/Care Coordinator | 803 Columbia Ave, Monticello, KY 42633 | 2019-01-24 |
| 1194232207 | Jacob Dudley Coffey | Nurse Practitioner | 1 S Creek Dr Ste 102606, Monticello, KY 42633 | 2018-01-10 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| 1194085977 | Steven M Tallent II | Dentist | 1225 N. Main St., Brummett Cosmetic and Family Dentistry, Monticello, KY 42633 | 2012-05-25 |
| 1245376243 | Diagnostic Radiology of London | Specialist | 1455 E Hwy 90 By-pass Unit #4, Monticello, KY 42633 | 2007-01-29 |
| 1639241433 | Hicks Enterprises of Monticello, LLC | Nursing Facility/Intermediate Care Facility | 1801 W. Hwy. 90 By-pass, Monticello, KY 42633 | 2006-11-15 |
| Find all providers in zip 42633 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679914675 | Mitchell Hammel | Family Medicine | 100 W Washington St Ste 101, Monticello, IL 61856-1713 | 2013-07-08 |
| 1700225679 | Michael Ray Nielson | Family Medicine | 380 W. 100 North, Monticello, UT 84535 | 2013-06-24 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| 1053566232 | Monticello Family Medicine & Walk-in Center | Family Medicine | 10 Prince St Ste 7, Monticello, NY 12701-1919 | 2008-12-01 |
| 1326248774 | James Wyatt Stephens | Family Medicine | 128 Courthouse Sq, Monticello, MS 39654-6014 | 2007-07-24 |
| 1548464993 | Fredy H Cordova | Family Medicine | 766 Hl Ross Dr, Monticello, AR 71655 | 2007-06-11 |
| 1629141494 | Bonita C Musial | Family Medicine | 314 Main St., Suite D, Monticello, MS 39654-0949 | 2006-11-17 |
| 1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
| 1790865624 | Christine M Foster | Family Medicine | 1293 N Main St Ste 102, Monticello, KY 42633-1945 | 2006-10-16 |
| 1962598490 | Abraham G. Garfinkel | Family Medicine | 15 Hamilton Ave, Monticello, NY 12701-1319 | 2006-10-04 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 42633 |
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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.