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RYAN INTERNAL MEDICINE PC
NPI 1033225024
Internal Medicine in Flagstaff, AZ

Active since August 22, 2006CLIA 03D1067052 · Waiver
107 E OAK AVE, SUITE 202, FLAGSTAFF, AZ 86001(928) 773-2560(928) 913-8835 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ryan Internal Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN INTERNAL MEDICINE PC (NPI 1033225024) is a healthcare organization registered as an internal medicine in Flagstaff, Arizona and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Keith T Ryan, Owner, as its authorized official.

NPPES Registry Identity

NPI1033225024
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRYAN INTERNAL MEDICINE PC
Location Address107 E OAK AVE, SUITE 202Flagstaff, AZ 86001-1818
Mailing Address107 E Oak Ave, Suite 202Flagstaff, AZ 86001-1818 · (928) 773-2560 · Fax (928) 913-8835
Phone(928) 773-2560
Fax(928) 913-8835
Organization SubpartNo
Authorized OfficialKeith T RyanOwner · (928) 773-2560
Enumeration DateAugust 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1033225024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 22530
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
107 E OAK AVE, Flagstaff, AZ 86001
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1067052

Ryan Internal Medicine · Flagstaff, AZ
Active · expires Apr 9, 2027
CLIA Number03D1067052
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorStacie Collins
Laboratory Phone(928) 213-5881
Laboratory LocationRyan Internal Medicine1350 Rim Dr, Flagstaff, AZ 86001
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACHARY SCOTT HINGER PA-C
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
ERIN H ENGEL PA-C
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
MS. JULIE MARIE POLZIN RN, NP-C
Nurse Practitioner (Family)
107 E OAK AVE, SUITE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
KIMBERLY SARGENT PA
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
CHARLES SMITH MD
Family Medicine
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
MR. RAYMOND WOLFGANG LIEBER PA-C
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
BRANDON CLARK DO
Orthopaedic Surgery
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
KENT A DIEHL MD
Family Medicine
107 E OAK AVE, SUITE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Internal Medicine PC's NPI number?

The NPI number for Ryan Internal Medicine PC is 1033225024. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Ryan Internal Medicine PC located?

Ryan Internal Medicine PC is located at 107 E Oak Ave Suite 202, Flagstaff, AZ 86001. The listed phone number is (928) 773-2560.

What is Ryan Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ryan Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1067052) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ryan Internal Medicine PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.