Provider Demographics
NPI:1659318699
Name:RYAN, JAMES G (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:RYAN
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 1:740 E STATE ST
Mailing Address - Street 2:SHARON REGIONAL HEALTH SERVICES
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-3328
Mailing Address - Country:US
Mailing Address - Phone:724-983-5584
Mailing Address - Fax:724-983-5611
Practice Address - Street 1:2999 INNOVATION WAY
Practice Address - Street 2:SHARON CARDIOLOGY SPECIALISTS
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-7903
Practice Address - Country:US
Practice Address - Phone:724-983-1800
Practice Address - Fax:724-983-8252
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD048211L174400000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist