SHAWN RYAN MD – NPI #1073714812
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

SHAWN RYAN is a physician located in CINCINNATI, OH. NPPES has assigned the NPI number 1073714812 to SHAWN RYAN on May 30, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 5 years ago on Mar 05, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHAWN RYAN below.

NPI Profile for
SHAWN RYAN

NPI Number
1073714812
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SHAWN RYAN
Credentials
MD
Primary location
446 MORGAN ST
CINCINNATI, OH 45206
Phone: (138) 347-0635 Fax: (513) 873-1567
4 Other location(s):
599 Freedom Park Dr
Crestview Hills, KY 41017-5130
Phone: (859) 331-3111
1154A Lexington Rd
Georgetown, KY 40324-9330
Phone: (502) 868-7272
2645 N Laurel Rd Ste B
London, KY 40741-9075
Phone: (502) 749-6249
9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812
Phone: (502) 749-6249
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Mar 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SHAWN RYAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY7100112350
MEDICAIDOH2993944
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0401X
- Internal Medicine / Addiction Medicine (Primary)
KY 43226
207P00000X
- Emergency Medicine
OH 35093747

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.