Provider Demographics
NPI:1518914662
Name:WERLING, RYAN C (DO)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:C
Last Name:WERLING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-3702
Mailing Address - Country:US
Mailing Address - Phone:515-961-3700
Mailing Address - Fax:515-962-0160
Practice Address - Street 1:1504 N 1ST ST
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:IA
Practice Address - Zip Code:50125-3702
Practice Address - Country:US
Practice Address - Phone:515-961-3700
Practice Address - Fax:515-962-0160
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3503207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1431114Medicaid
IA1518914662Medicaid
IAP00424521OtherRR MEDICARE
IA1431114Medicaid
I03071Medicare UPIN
IAI12747Medicare PIN