Provider Demographics
NPI:1861019010
Name:JONES, RYAN (MD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:
Last Name:JONES
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 1:31182 SETTLERS WAY DR
Mailing Address - Street 2:
Mailing Address - City:FLAT ROCK
Mailing Address - State:MI
Mailing Address - Zip Code:48134-3306
Mailing Address - Country:US
Mailing Address - Phone:941-787-9813
Mailing Address - Fax:
Practice Address - Street 1:3550 S TAMIAMI TRL STE 301
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6014
Practice Address - Country:US
Practice Address - Phone:941-273-8233
Practice Address - Fax:833-973-4424
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351046729207Q00000X
FL161732207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine