1649302621 NPI number — DR. RYAN JEFFREY TRAVIS M.D.

Table of content: DR. RYAN JEFFREY TRAVIS M.D. (NPI 1649302621)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649302621 NPI number — DR. RYAN JEFFREY TRAVIS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRAVIS
Provider First Name:
RYAN
Provider Middle Name:
JEFFREY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649302621
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/03/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
790 STREAMVIEW DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PERRYSBURG
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43551-6602
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-352-5387
Provider Business Mailing Address Fax Number:
419-725-0676

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
710 CLEVELAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREMONT
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43420-3224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-334-6619
Provider Business Practice Location Address Fax Number:
419-334-6663
Provider Enumeration Date:
03/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  35.087855 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2868375 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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