DR. MICHAEL HUNTER RYAN (NPI# 1497750855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497750855 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL HUNTER RYAN |
| Credential | MD |
| Practice Address |
1620 Southridge Dr Ste B Jefferson City MO 65109-4005 |
| Practice Telephone | 5736322780 |
| Practice Fax Number | 5736322782 |
| Mailing Telephone | 5736322780 |
| Mailing Fax Number | 5736322782 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2018-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 118143 | MO | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 118143 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203959903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990594 | Michael Ryan | Counselor | 15309 Diamond Cove Ter Apt B, Rockville, MD 20850-4687 | 2020-07-28 |
| 1003367202 | Michael Ryan | Physical Therapist | 1312 3rd St N, Jacksonville Beach, FL 32250-7348 | 2016-10-23 |
| 1124470562 | Michael Ryan | Specialist/Technologist | 2002 Cripplecreek Dr, Ladson, SC 29456-3072 | 2016-07-11 |
| 1073882668 | Michael Nixon Ryan | Obstetrics & Gynecology | 106 Hidden Pt, Hendersonville, TN 37075-5546 | 2011-12-28 |
| 1386887453 | Michael G. Ryan | Physical Medicine & Rehabilitation | 1335 E Republic Rd, Suite D, Springfield, MO 65804-7204 | 2009-04-19 |
| 1831355189 | Michael Thomas Ryan | Podiatrist | 518 Myoma Rd, Mars, PA 16046-2324 | 2008-08-05 |
| 1992963581 | Michael T Ryan | Pharmacist | 374 North Ave, Dunellen, NJ 08812-1221 | 2008-05-30 |
| 1386861128 | Michael Lawrence Ryan | Specialist/Technologist | 2053 Enclave Drive, Trussville, AL 35173 | 2007-04-20 |
| 1144365321 | Michael Patrick Ryan | Dentist | 17061 Harlem Ave, Tinley Park, IL 60477-2739 | 2007-02-21 |
| 1689739203 | Michael T. Ryan IIi | Chiropractor | 9 Nahant St, Lynn, MA 01902-3221 | 2006-12-26 |
| Street Address |
1620 SOUTHRIDGE DR STE B |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518915057 | Victoria Gunn | Dermatology | 1620 Southridge Dr Ste B, Jefferson City, MO 65109-4005 | 2006-05-05 |
| 1174529739 | Missouri Vein Care, LLC | Phlebology | 1620 Southridge Dr Ste B, Jefferson City, MO 65109-4005 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1720333131 | Michael L. Craighead | Surgery | 1100 Highland Ridge Dr, Jefferson City, MO 65109-3189 | 2012-07-23 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1700084316 | Jefferson City Medical Group, P.C. | Surgery | 2511 W Edgewood Dr Ste A&h, Jefferson City, MO 65109-5869 | 2007-07-05 |
| 1588700272 | Alan Roy Doerhoff | Surgery | 4606 Shepherd Hills Rd, Jefferson City, MO 65101-9478 | 2007-01-29 |
| 1043246887 | Herbert W. Ridyard Jr. | Surgery | 120 Hospital Dr Ste 260, Jefferson City, TN 37760-5283 | 2006-06-23 |
| 1831131762 | Victor M. Phillips | Surgery | 3308 W. Edgewood Dr., Suite D, Jefferson City, MO 65109-6891 | 2006-06-12 |
| 1730159088 | Leslie Walton Milligan | Surgery | 1810 Bishop Street, Suite C, Jefferson City, TN 37760 | 2006-01-26 |
| 1174838759 | Ani Gunyaporn Durham | Surgery | 1125 Madison St, Jefferson City, MO 65101-5227 | 2010-08-08 |
| 1275844771 | Caleb Steffen | Surgery | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2010-06-30 |
| 1538397690 | Ryan Arthur Strain | Surgery | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2009-06-29 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on DR. MICHAEL HUNTER 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.