Individual provider · NPI-1

Ryan Matthew Carbaugh, D.O.

Internal Medicine, Gastroenterology · Danville, KY

NPI number1437541570
StatusActive
Last updated in NPPESJul 14, 2021

Details

NPI
1437541570
Entity type
Individual (NPI-1)
Name
Ryan Matthew Carbaugh
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 26, 2015
Certification date
Jul 14, 2021
Last updated
Jul 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology04706KYYes
207R00000X Internal Medicine34.012951OH
207R00000X Internal Medicine04706KY
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

216 W Walnut St Ste A
Danville, KY 40422-1832

Phone 859-239-5870 · Fax 859-239-5879

Mailing address

216 W Walnut St
Ste A
Danville, KY 40422-1832

Phone 859-239-5870

Other practice locations

7007 Powers Blvd
University Hospitals Parma Medical Center
Parma, OH 44129

Phone 440-743-3000

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