Search › Missouri › 202K00000X
Michael Ryan, MD
NPI 1497750855 · on the registry since 2005
Practice
- Address
- 1620 Southridge Dr Ste B
Jefferson City, MO 65109 - Phone
- (573) 632-2780
- Fax
- (573) 632-2784
- Organisation at this address
- Missouri Vein Care, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 4004 Peach Ct Ste E, Columbia, MO
- 1070 S Bishop Ave, Rolla, MO
Registry record
- Primary taxonomy
- 202K00000X
202K00000X
- Also registered as
- 208G00000X
208600000X - Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri