RYAN JAMES FURDOCK MD
NPI 1114553104
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Ryan Furdock's NPI number?

The NPI number for Ryan Furdock is 1114553104. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Q: What is Ryan Furdock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Furdock was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since March 21, 2020PECOS Enrolled

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2000 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ryan James Furdock Md NPPES

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

RYAN JAMES FURDOCK MD (NPI 1114553104) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1114553104

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameRYAN JAMES FURDOCKCredential: MD

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing Address1025 Morehead Medical Dr Ste 300Charlotte, NC 28204-2966

Phone(704) 355-2000

Sole ProprietorNo

Enumeration DateMarch 21, 2020

Last NPPES UpdateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1114553104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 BLYTHE BLVD, Charlotte, NC 28203

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Secondary Practice Location 1

Location 111100 Euclid AveCleveland, OH 44106-1716 · Phone (248) 303-7039

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan James Furdock Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)