Provider Demographics
NPI:1235108226
Name:RYAN, BARBARA JEAN (MD)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JEAN
Last Name:RYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:BARBARA
Other - Middle Name:JEAN
Other - Last Name:BOROWY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1427 VALLEDA LANE
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2411
Mailing Address - Country:US
Mailing Address - Phone:619-851-0041
Mailing Address - Fax:
Practice Address - Street 1:1427 VALLEDA LANE
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2411
Practice Address - Country:US
Practice Address - Phone:619-851-0041
Practice Address - Fax:760-274-6819
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64579208200000X, 2082S0099X, 2082S0105X, 208600000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice