DR. RENEE ANNE RYAN M.D.
NPI 1386811545
Family Medicine in Fayetteville, NY

Q: What is Renee Ryan's NPI number?

The NPI number for Renee Ryan is 1386811545. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Q: What is Renee Ryan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Renee Ryan was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 15, 2008

4103 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066(315) 637-7800(315) 637-7808 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Renee Anne Ryan M.d. NPPES

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

DR. RENEE ANNE RYAN M.D. (NPI 1386811545) is an individual family medicine provider in Fayetteville, New York, licensed in New York (248246-1) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1386811545

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RENEE ANNE RYANCredential: M.D.

Location Address4103 MEDICAL CENTER DRFayetteville, NY 13066-6600

Mailing Address4103 Medical Center DrFayetteville, NY 13066-6600 · (315) 637-7800 · Fax (315) 637-7808

Phone(315) 637-7800

Fax(315) 637-7808

Sole ProprietorNo

Enumeration DateMay 15, 2008

Last NPPES UpdateFebruary 20, 2012

✔ NPI 1386811545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 248246-1

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 248246 (NY)

4103 MEDICAL CENTER DR, Fayetteville, NY 13066

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Other Identifiers 4

Medicare PINRB9041NY

Medicaid03027323NY

Other204500162NY · Blue Shield

Medicare PINJ400063366NY

Other Providers at the Same Location NPPES 7

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

STEPHEN J JACKOWSKI RPA

Physician Assistant (Medical)