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NPI Code Detail

MEDICARE: DR. JOEL RYON MD

MEDICARE: DR. JOEL RYON MD
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
1207Q00000XFamily Medicine PhysicianR-7242IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063523728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEL RYON MD
Provider Business Mailing Address
First Line : 621 S ILLINOIS AVE
Second Line : SUITE 103
City : MASON CITY
State : IA
Zip : 50401-5489
Country : US
Telephone Number : 641-494-3041
Fax Number : 641-494-3059
Provider Business Practice Location Address
First Line : 407 S WHITE ST STE 103
Second Line :
City : MOUNT PLEASANT
State : IA
Zip : 52641-2263
Country : US
Telephone Number : 319-385-6770
Fax Number : 319-385-5409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/17/2020

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