| Ryse Health Maryland Physicians, Pc | |
|
3700 Koppers St Ste 510 Baltimore MD 21227-1051 | |
| (240) 900-8808 | |
| Not Available |
| Full Name | Ryse Health Maryland Physicians, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3700 Koppers St Ste 510, Baltimore, Maryland |
| Authorized Official Name and Position | Ryan P. Tyner (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5719997973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryse Health Maryland Physicians, Pc 3700 Koppers St Ste 510 Baltimore MD 21227-1051 Ph: (240) 900-8808 | Ryse Health Maryland Physicians, Pc 3700 Koppers St Ste 510 Baltimore MD 21227-1051 Ph: (240) 900-8808 |
| NPI Number | 1265183354 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 03/13/2025 |
| Medicare PECOS PAC ID | 6305239310 |
|---|---|
| Medicare Enrollment ID | O20220215000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265183354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Linda Yerardi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093381402 PECOS PAC ID: 2365842549 Enrollment ID: I20210609001306 |
| Provider Name | Ann Hassett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619595246 PECOS PAC ID: 2264838291 Enrollment ID: I20220215000406 |
| Provider Name | Jill Paulson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346357936 PECOS PAC ID: 6608973292 Enrollment ID: I20220222000001 |
| Provider Name | Jillian Morgan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174922595 PECOS PAC ID: 2961747456 Enrollment ID: I20220314000016 |
| Provider Name | Jennifer Lyons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073934451 PECOS PAC ID: 9234568981 Enrollment ID: I20230822004155 |
| Provider Name | Megan Theresa Wolf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881220960 PECOS PAC ID: 6507295045 Enrollment ID: I20230930000418 |
| Provider Name | Dorine K Ndayizigiye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790323467 PECOS PAC ID: 1658707336 Enrollment ID: I20250203000359 |
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