MEDICARE: RYAN M LEY MD INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2084P0800X	Psychiatry Physician
2	207P00000X	Emergency Medicine Physician
3	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
4	2084P0804X	Child & Adolescent Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1073637203	OTHER		NPI
2	12750	OTHER	NV	NEVADA LICENSE NUMBER

General Provider Information

NPI Number	:	1255823258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYAN M LEY MD INC

Provider Business Mailing Address
First Line	:	PO BOX 8038
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89507-8038
Country	:	US
Telephone Number	:	775-225-3606
Fax Number	:

Provider Business Practice Location Address
First Line	:	713 BALZAR CIR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-2616
Country	:	US
Telephone Number	:	619-268-1274
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RYAN MICHAEL LEY
Credential	:
Telephone Number	:	619-268-1274

Provider Enumeration Date	:	06/05/2018
Last Update Date	:	04/23/2026

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Directions to “RYAN M LEY MD INC ” Practice Location

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