Provider Demographics
NPI:1154685022
Name:SCHMUCKER, RYAN WESLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:WESLEY
Last Name:SCHMUCKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-366-0131
Mailing Address - Fax:614-366-0131
Practice Address - Street 1:915 OLENTANGY RIVER RD STE 3200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3167
Practice Address - Country:US
Practice Address - Phone:614-366-4263
Practice Address - Fax:614-366-0131
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2019-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL1250616212086S0122X
OH35.1371042082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery