Provider Demographics
NPI:1033236401
Name:ALBRITTON, RYAN LLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:LLOYD
Last Name:ALBRITTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:10800 E GEDDES AVE STE 300
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-3895
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO579132085R0202X
NE298532085R0202X
KS04-398042085R0202X
CAA902172085R0202X
HI150212085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO50125109Medicaid
CO558568ZLJ3OtherMEDICARE PIN
CA019375OtherUC SAN DIEGO MEDICAL CENTER
CO558568YQN9OtherMEDICARE PIN
HIH109557Medicare PIN
CO558568YQN9Medicare PIN
CO558568ZLJ3OtherMEDICARE PIN
CA100859Medicare UPIN
CO50125109Medicaid
CO558568YQN9OtherMEDICARE PIN
CA50827Medicare UPIN
KSKA3249092Medicare PIN
NENA1214106Medicare PIN
KS111257101Medicare PIN
CO558568YQPGMedicare PIN
CO558568ZLJ3Medicare PIN
NENA2517084Medicare PIN
CO558568YQ33Medicare PIN