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Active NPI 1447584636 Individual Practitioner Male Practitioner

Dr. Ryan D. Lewis , MD

General Practice • South Jordan, UT

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Lewis, MD is a registered healthcare professional specializing in General Practice in South Jordan, UT. Practice services are available at 717 W MYSTIC CREEK WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

717 W Mystic Creek Way

South Jordan, UT 840954691

Telephone 8016185774

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in South Jordan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
5 Specialists

Practicing in South Jordan, UT (66 Statewide)

Telehealth Adoption Rate
40.0% 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: 2021-10-26
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License UT 7036277-1205

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

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 26, 2021

Registered at 717 W MYSTIC CREEK WAY, SOUTH JORDAN, UT 840954691 (Tel: 8016185774)

📍
Updated Business Mailing Address October 26, 2021

Registered at 717 W MYSTIC CREEK WAY, SOUTH JORDAN, UT 840954691 (Tel: 8016185774)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2021

General Practice (License #7036277-1205 in UT)

✅
NPI Profile Active September 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2009

Registered at 11506 S STATE ST, DRAPER, UT 840209453 (Tel: 8015769669)

📍
Updated Business Mailing Address September 22, 2009

Registered at 11506 S STATE ST, DRAPER, UT 840209453 (Tel: 8015769669)

👤
Provider Name / Credentials Updated September 22, 2009

Recorded as RYAN LEWIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2009

Otolaryngology (License #7036277-1205 in UT)

🟢
Initial NPI Registration & Enumeration September 22, 2009

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: 1447584636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2009
Last Update: October 26, 2021
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

717 W Mystic Creek Way

South Jordan, UT 840954691

Phone: 8016185774

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.