Healthcare Provider Details

I. General information

NPI: 1588906895
Provider Name (Legal Business Name): RYAN A COMBS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2013
Last Update Date: 12/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PARK WEST BLVD SUITE 330
AKRON OH
44320
US

IV. Provider business mailing address

4134 CLAIRE DR APT 102
INDIANAPOLIS IN
46240-1595
US

V. Phone/Fax

Practice location:
  • Phone: 330-835-5533
  • Fax: 234-312-2341
Mailing address:
  • Phone: 815-954-0896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35.136100
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: