Provider Demographics
NPI:1306318357
Name:SMITH, RYAN SINCLAIR (MD, FRCPC)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:SINCLAIR
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD, FRCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 THOMPSON LANE
Mailing Address - Street 2:SUITE 30330
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204
Mailing Address - Country:US
Mailing Address - Phone:157-538-8196
Mailing Address - Fax:
Practice Address - Street 1:3601 THE VANDERBILT CLINIC
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-5100
Practice Address - Country:US
Practice Address - Phone:615-322-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2019-10-05
Deactivation Date:2019-08-21
Deactivation Code:
Reactivation Date:2019-10-05
Provider Licenses
StateLicense IDTaxonomies
TN58552207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology