Dr. Mary Catherine Ryan , MD
Pediatrics • Reston, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mary Ryan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mary Ryan, MD was a registered Pediatrics practicing in Reston, VA. Throughout an active medical career spanning 12 years, Dr. Ryan provided care at the practice location at 1850 CAMERON GLEN DRIVE until profile deactivation on 2018-02-27.
Practice Location & Contact Primary Location
1850 Cameron Glen Drive
Suite 100 Fairfax County Health Dept Herndon Reston Off
Reston, VA 20190
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Reston, VA
Practicing in Reston, VA (2079 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Registered Nurse - Psychiatric/Mental Health, Adult
Registered Nurse
Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 27, 2018
NPI status registered as active in NPPES database
Registered at 1850 CAMERON GLEN DRIVE, SUITE 100 FAIRFAX COUNTY HEALTH DEPT HERNDON RESTON OFF, RESTON, VA 20190 (Tel: 7034814242)
Registered at 1423 ALDENHAM LANE, RESTON, VA 201903903 (Tel: 7034370616)
Recorded as MARY RYAN, MD
Pediatrics (License #0101020160 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1423 Aldenham Lane
Reston, VA 201903903
Phone: 7034370616
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