| Ryan Internal Medicine Pc | |
|
107 E Oak Ave Suite 202 Flagstaff AZ 86001-1818 | |
| (928) 773-2560 | |
| (928) 913-8835 |
| Full Name | Ryan Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 107 E Oak Ave, Flagstaff, Arizona |
| Authorized Official Name and Position | Keith T Ryan (OWNER) |
| Authorized Official Contact | 9287732560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Internal Medicine Pc 107 E Oak Ave Suite 202 Flagstaff AZ 86001-1818 Ph: (928) 773-2560 | Ryan Internal Medicine Pc 107 E Oak Ave Suite 202 Flagstaff AZ 86001-1818 Ph: (928) 773-2560 |
| NPI Number | 1033225024 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4082613708 |
|---|---|
| Medicare Enrollment ID | O20061211000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033225024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22530 (Arizona) | Primary |
| Provider Name | Cynthia E Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346290962 PECOS PAC ID: 1557352051 Enrollment ID: I20040525001392 |
| Provider Name | Keith T Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366416869 PECOS PAC ID: 2668479213 Enrollment ID: I20061025000131 |
| Provider Name | Katherine E Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215014485 PECOS PAC ID: 2264419886 Enrollment ID: I20090423000212 |
| Provider Name | Sherrill Weller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992896781 PECOS PAC ID: 4082634175 Enrollment ID: I20190218001337 |
| Provider Name | Jessica Holst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134864754 PECOS PAC ID: 9931578481 Enrollment ID: I20221206001318 |
North Country Healthcare-ponderosa Hs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2384 N Steves Blvd, Flagstaff, AZ 86004 Phone: 928-522-9410 Fax: 928-522-9411 | |
Aspen Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2912 N West St, Flagstaff, AZ 86004 Phone: 928-774-3627 Fax: 927-774-1400 | |
Vasco Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 N Switzer Canyon Dr Ste 201, Flagstaff, AZ 86001 Phone: 602-346-0204 | |
Native Americans For Community Action, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 E Cedar Ave, Ste 26, Flagstaff, AZ 86004 Phone: 928-773-1245 Fax: 928-773-9429 | |
North Country Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6121 Fax: 928-774-6687 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2920 N. 4th Street, Flagstaff, AZ 86004 Phone: 928-522-9400 Fax: 928-774-6687 |