Mr Keith S Ryan, AA is a
Anesthesiologist Assistant physician based in Atlanta, Georgia. Mr Keith S Ryan is licensed to practice in Georgia (license number 000866) and his current practice location is 1968 Peachtree Road Nw, Atlanta, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 351-1745.
NPI number for Mr Keith S Ryan is 1649309840 and his current mailing address is 1301 Concord Terrace, Sunrise, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649309840.
Physician's Profile
| Full Name | Mr Keith S Ryan |
|---|
| Gender | Male |
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| Speciality | Anesthesiologist Assistant |
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| Location | 1968 Peachtree Road Nw, Atlanta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649309840
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 10/05/2010
Medical Identifiers
Medical identifiers for Mr Keith S Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649309840 | NPI | - | NPPES |
| 199990101B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 000866 (Georgia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 000866 (Georgia) | Primary |
| 363A00000X | Physician Assistant | 000866 (Georgia) | Secondary |
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. Mr Keith S Ryan 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 |
|---|
Mr Keith S Ryan, AA
1301 Concord Terrace,
Sunrise, FL 33323-2843
Ph: (800) 243-3839 | Mr Keith S Ryan, AA
1968 Peachtree Road Nw,
Atlanta, GA 30309-1281
Ph: (404) 351-1745 |
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