Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114307931 Individual Practitioner Male Practitioner

Dr. Ryan Hare , MD

General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Hare, MD is a registered healthcare professional specializing in General Practice in Jacksonville, FL. Practice services are available at 2080 CHILD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2080 Child St

Jacksonville, FL 322145005

Telephone 3052933953
Associated Practice Facility / Clinic
🏢 Naval Hospital Jacksonville Facility NPI 1265411383

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
84 Specialists

Practicing in Jacksonville, FL (2490 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-12
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101265166

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License VA 0101265166

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Steven Undheim , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1003357559
Ramona Greene

Registered Nurse - Medical-Surgical

NPI 1003458787
Dr. Hannah Gould , MD

Military Health Care Provider

NPI 1003665803

Doctor of Medicine (M.D.)

Dr. Ronald Appleby , DMD

Dentist - General Practice

NPI 1003886300

Doctor of Dental Medicine

Debra Wagner , CNM, ARNP

Advanced Practice Midwife

NPI 1013050095

Certified Nurse Midwife, Advanced Registered Nurse Practitioner

NPI 1013653732

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location October 12, 2023

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005 (Tel: 3052933953)

📍
Updated Business Mailing Address October 12, 2023

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2023

Student in an Organized Health Care Education/Training Program (License #0101265166 in VA)

📍
Updated Practice Location July 19, 2018

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708 (Tel: 7579535257)

👤
Provider Name / Credentials Updated July 19, 2018

Recorded as RYAN HARE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2018

General Practice (License #0101265166 in VA)

NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2017

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082197 (Tel: 7579535257)

📍
Updated Business Mailing Address February 10, 2017

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082197

👤
Provider Name / Credentials Updated February 10, 2017

Recorded as RYAN HARE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Student in an Organized Health Care Education/Training Program

NPI Profile Active June 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2015

Registered at 4610 X ST, SACRAMENTO, CA 958172200 (Tel: 6195873530)

📍
Updated Business Mailing Address June 06, 2015

Registered at 2103 ESPLANADE CIR, FOLSOM, CA 956307371

👤
Provider Name / Credentials Updated June 06, 2015

Recorded as RYAN HARE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 06, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114307931
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2015
Last Update: October 12, 2023
Sole Proprietor: No

Mailing Address

2080 Child St

Jacksonville, FL 322145005

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.