Provider Demographics
NPI:1427149178
Name:RICHARDS, RYAN A (MD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:A
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 N HIGLEY RD STE 206
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-1624
Mailing Address - Country:US
Mailing Address - Phone:480-543-6700
Mailing Address - Fax:
Practice Address - Street 1:1920 N HIGLEY RD STE 206
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-1624
Practice Address - Country:US
Practice Address - Phone:480-543-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ69108207XS0106X
UT5924878-1205207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT09-00576OtherUTAH HEALTHCARE
UT870281028RR2OtherEMIA
UT84628OtherPEHP
UTP00293576OtherPALMETTO
UT107040000101OtherIHC
UT903371OtherDMBA
UT245449OtherALTIUS
UTD6299Medicaid
UT09-00576OtherUTAH HEALTHCARE
UT903371OtherDMBA
UT005502598Medicare ID - Type UnspecifiedMEICARE