RYAN FRANKLIN ISOM (NPI# 1679756019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679756019 |
| Entity Type | Individual |
| Full Name | RYAN FRANKLIN ISOM |
| Credential | MD |
| Practice Address |
1055 N 300 W Suite 210 Provo UT 84604-3344 |
| Mailing Address |
1055 N 300 W Suite 210 Provo UT 84604-3374 |
| Practice Telephone | 8013577704 |
| Practice Fax Number | 8013577424 |
| Mailing Telephone | 8013577704 |
| Mailing Fax Number | 8013577424 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2017-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 86158471205 | UT | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | ME109701 | FL | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
86158471205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1055 N 300 W SUITE 210 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397491 | Paul Ferron Olson | Specialist | 1055 N 300 W, Ste 204, Provo, UT 84604-3374 | 2005-06-27 |
| 1215351416 | Jenny Coy | Nurse Practitioner | 1055 N 300 W, Ste 401, Provo, UT 84604-3306 | 2014-02-07 |
| 1356682553 | Andrea Lee Driggs | Nurse Practitioner | 1055 N 300 W, Suite 110, Provo, UT 84604-3344 | 2013-03-13 |
| 1003151853 | Sharla Morgan | Nurse Practitioner | 1055 N 300 W, Suite 212, Provo, UT 84604-3344 | 2012-12-05 |
| 1720356538 | Ihc Health Services Inc | Surgery | 1055 N 300 W, Ste 205, Provo, UT 84604-5044 | 2011-12-07 |
| 1053691246 | Steven Forsey | Audiologist | 1055 N 300 W, Ste 401, Provo, UT 84604-3344 | 2011-08-19 |
| 1417241704 | Ihc Health Services Inc | Psychiatry & Neurology | 1055 N 300 W, Ste 501, Provo, UT 84604-3344 | 2011-06-03 |
| 1134435837 | George C Gourley, Do | Obstetrics & Gynecology | 1055 N 300 W, Suite 305, Provo, UT 84604-3344 | 2010-08-19 |
| 1972818185 | Joseph Evans Dansie | Audiologist | 1055 N 300 W, Suite 401, Provo, UT 84604-3344 | 2010-08-11 |
| 1619293552 | Charles Brent Stubbs | Pharmacist | 1055 N 300 W, Suite 201, Provo, UT 84604-3344 | 2010-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578595153 | Mitchell J Goff | Ophthalmology | 4400 S 700 E Ste 200, Salt Lake City, UT 84107-3053 | 2006-07-06 |
| 1285695940 | Peter Richard Hurlbut-miller | Ophthalmology | 4400 South 700 East, Ste 200, Salt Lake City, UT 84107 | 2006-03-31 |
| 1710980354 | Rocky Mountain Retina Consultants | Ophthalmology | 4400 S 700 E, Ste 200, Salt Lake City, UT 84107-3000 | 2005-05-27 |
| 1891098679 | Ihc Health Services Inc | Ophthalmology | 544 S 400 E, St George, UT 84770-3705 | 2010-12-16 |
| 1811990450 | David Wayne Faber | Ophthalmology | 4400 S 700 E, Ste 200, Salt Lake City, UT 84107-3000 | 2005-05-27 |
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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.