| Glen Ryan, MD | |
|
3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 | |
| (952) 595-1301 | |
| (612) 294-4903 |
| Full Name | Glen Ryan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 11 Years |
| Location | 3600 Minnesota Dr Ste 800, Edina, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932513306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | T2058 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of California Davis Medical Center | Sacramento, CA | Hospital |
| Providence Saint Joseph Medical Ctr | Burbank, CA | Hospital |
| Antelope Valley Hospital | Lancaster, CA | Hospital |
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Borgess Medical Center | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palm Desert Radiology Medical Group Inc | 0749173789 | 121 |
| Golden State Imaging Associates Inc | 1254761315 | 194 |
| Regents Of The Univ Of Ca | 3375456619 | 1468 |
| Radiologists Associated In Duluth Ltd | 4284547209 | 30 |
| Virtual Radiologic Professionals Of Texas I, Pa | 6204838766 | 38 |
| Renaissance Imaging Medical Associates Inc | 7315841756 | 119 |
| Entity Name | Angelina Diagnostic Radiology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033175302 PECOS PAC ID: 1850380890 Enrollment ID: O20040506001075 |
| Entity Name | Virtual Radiologic Professionals Of Texas I, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184725228 PECOS PAC ID: 6204838766 Enrollment ID: O20070213000111 |
| Entity Name | Renaissance Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20180709003162 |
| Entity Name | Palm Desert Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079868 PECOS PAC ID: 0749173789 Enrollment ID: O20190315001958 |
| Entity Name | Golden State Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200528003465 |
| Entity Name | Radiologists Associated In Duluth Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598722688 PECOS PAC ID: 4284547209 Enrollment ID: O20210921003198 |
| Entity Name | Regents Of The Univ Of Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477546406 PECOS PAC ID: 3375456619 Enrollment ID: O20220826002290 |
| Entity Name | Claremont Imaging Associates A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619068921 PECOS PAC ID: 9133170442 Enrollment ID: O20240725000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Ryan, MD 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 Ph: (952) 595-1301 | Glen Ryan, MD 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 Ph: (952) 595-1301 |
Christopher Calixte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100 Fax: 612-294-4903 | |
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Rati Narendra Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Dr. Larry Scott Kessler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 | |
Lawrence S. Liebman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903 |