Gordon A.Ryan,Md Pc

LBN: Gordon A.Ryan,Md Pc
Gordon A.Ryan,Md Pc is an health care organization with primary practice located at 400 Gresham Dr Suite 411, Norfolk VA 23507-1901. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gordon A.Ryan,Md Pc can be contacted via phone (757) 624-9433, or through Cole, Mildred R via phone (757) 624-9433.

Contact Information

Primary practice address
400 Gresham Dr Suite 411 Norfolk VA 23507-1901
Phone: (757) 624-9433
Fax: (757) 624-6884
Website:
Map and Directions
Authorized official contact:
Name: Cole, Mildred R RMA
Phone: (757) 624-9433

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101034688 Virginia

Profile Details

NPI number 1891970893
LBN Legal business name Gordon A.Ryan,Md Pc
DBA Doing business as
Authorized official Cole, Mildred R RMA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2008
Last updated Jan 8th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891970893 NPPES
Virginia MEDICAID 005878900

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