Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659356905 Individual Practitioner Female Practitioner

Dr. Kathleen L Ryan , MD

Specialist • Walpole, MA

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Ryan, MD is a registered healthcare professional specializing in Specialist in Walpole, MA. Practice services are available at 3412 PENNINGTON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3412 Pennington Dr

Walpole, MA 020811078

Telephone 6097448046
Fax 8153310775

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Walpole, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Walpole, MA (1181 Statewide)

Telehealth Adoption Rate
0.0% 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: 2024-12-30
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 50223

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License NJ 25MA04982500

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.

Internal Medicine - Pulmonary Disease

NUCC Taxonomy Code: 207RP1001X

State License NJ 25MA04982500

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License NJ 25MA04982500

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ma License
50223 (MA)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 30, 2024

Registered at 3412 PENNINGTON DR, WALPOLE, MA 020811078 (Tel: 6097448046)

📍
Updated Business Mailing Address December 30, 2024

Registered at 3412 PENNINGTON DR, WALPOLE, MA 020811078 (Tel: 6097448046)

NPI Profile Active March 16, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2010

Registered at 204 ARK RD, STE 206 LMC I, MOUNT LAUREL, NJ 080543100 (Tel: 8567784640)

📍
Updated Business Mailing Address March 16, 2010

Registered at 204 ARK RD, STE 206 LMC I, MOUNT LAUREL, NJ 080543100 (Tel: 8567784640)

👤
Provider Name / Credentials Updated March 16, 2010

Recorded as KATHLEEN RYAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2010

Specialist (License #25MA04982500 in NJ)

🟢
Initial NPI Registration & Enumeration December 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kathleen Ryan. Be the first to share your experience!

Sign in to leave a review for Dr. Kathleen Ryan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1659356905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2005
Last Update: December 30, 2024
Sole Proprietor: Yes

Mailing Address

3412 Pennington Dr

Walpole, MA 020811078

Phone: 6097448046

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.