RYAN R. PINE, M.D. LTD
NPI 1700139110
Specialist in Charleston, IL

Active since October 23, 2012
1605 REYNOLDS DR, CHARLESTON, IL 61920(217) 348-0221(217) 345-1380 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ryan R. Pine, M.d. Ltd NPPES

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

RYAN R. PINE, M.D. LTD (NPI 1700139110) is a healthcare organization registered as a specialist in Charleston, Illinois and active in the NPI registry since October 2012. The organization lists Ryan R. Pine, Owner, as its authorized official.

NPPES Registry Identity

NPI1700139110
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRYAN R. PINE, M.D. LTD
Location Address1605 REYNOLDS DRCharleston, IL 61920-3152
Mailing Address1605 Reynolds DrCharleston, IL 61920-3152 · (217) 348-0221 · Fax (217) 345-1380
Fax(217) 345-1380
Organization SubpartNo
Authorized OfficialRyan R. PineOwner · (217) 348-0221
Enumeration DateOctober 23, 2012
Last NPPES UpdateDecember 13, 2012
NPI 1700139110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1605 REYNOLDS DR, Charleston, IL 61920

Other Identifiers 2

Medicare UPINAPPLIED FORIL
MedicaidAPPLIED FORIL

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

Other Providers at the Same Location NPPES

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

Ophthalmology
1605 REYNOLDS DR
CHARLESTON, IL 61920

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 R. Pine, M.D. Ltd's NPI number?

The NPI number for Ryan R. Pine, M.D. Ltd is 1700139110. It was assigned to this organization in the NPPES registry on October 23, 2012.

Where is Ryan R. Pine, M.D. Ltd located?

Ryan R. Pine, M.D. Ltd is located at 1605 Reynolds Dr, Charleston, IL 61920. The listed phone number is (217) 348-0221.

What is Ryan R. Pine, M.D. Ltd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ryan R. Pine, M.D. Ltd was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.