Provider Demographics
NPI:1790270916
Name:SANKOVIC, RYAN THOMAS (MD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:THOMAS
Last Name:SANKOVIC
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 1:400 TOWN CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:OH
Mailing Address - Zip Code:44408-8312
Mailing Address - Country:US
Mailing Address - Phone:330-482-3762
Mailing Address - Fax:330-482-3840
Practice Address - Street 1:400 TOWN CENTER AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:OH
Practice Address - Zip Code:44408-8312
Practice Address - Country:US
Practice Address - Phone:330-482-3762
Practice Address - Fax:330-482-3840
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35152864208VP0014X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine