MEDICARE: DR. PATRICIA ANN RYAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35.089414	OH
2	207R00000X	Internal Medicine Physician	35.089414	OH

General Provider Information

NPI Number	:	1649495748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA ANN RYAN M.D.

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-5123
Fax Number	:	614-293-4980

Provider Business Practice Location Address
First Line	:	6515 PULLMAN DR FL 2
Second Line	:
City	:	LEWIS CENTER
State	:	OH
Zip	:	43035-7380
Country	:	US
Telephone Number	:	614-293-5123
Fax Number	:	614-293-4980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	06/10/2024

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