Alex Ryder, MD, PHD is a
Pathology - Clinical Pathology/laboratory Medicine physician based in Southaven, Mississippi. Alex Ryder is licensed to practice in Tennessee (license number 53551) and his current practice location is 1280 Stateline Rd E, Southaven, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(877) 334-0021.
NPI number for Alex Ryder is 1033435706 and his current mailing address is 9050 Telluride Cv, Germantown, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033435706.
Physician's Profile
Full Name | Alex Ryder |
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Gender | Male |
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Speciality | Pathology - Clinical Pathology/laboratory Medicine |
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Location | 1280 Stateline Rd E, Southaven, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033435706
- Provider Enumeration Date: 04/20/2010
- Last Update Date: 07/01/2023
Medical Identifiers
Medical identifiers for Alex Ryder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033435706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZB0001X | Pathology - Blood Banking & Transfusion Medicine | 53551 (Tennessee) | Secondary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 53005 (Connecticut) | Secondary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 53551 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alex Ryder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alex Ryder, MD, PHD 9050 Telluride Cv, Germantown, TN 38138-8400 Ph: (503) 559-5873 | Alex Ryder, MD, PHD 1280 Stateline Rd E, Southaven, MS 38671-9486 Ph: (877) 334-0021 |
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