MEDICARE: RYAN HAMPTON

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1548756851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN HAMPTON

Provider Business Mailing Address
First Line	:	3100 E 45TH ST STE 314
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1095
Country	:	US
Telephone Number	:	216-441-9622
Fax Number	:	888-460-4717

Provider Business Practice Location Address
First Line	:	3100 EAST 45TH STREET
Second Line	:	SUITE # 314
City	:	CLEVELAND
State	:	OH
Zip	:	44127-4412
Country	:	US
Telephone Number	:	216-441-9622
Fax Number	:	888-460-4717

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

Provider Enumeration Date	:	07/10/2018
Last Update Date	:	07/10/2018

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Directions to “ RYAN HAMPTON ” Practice Location

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