Provider Demographics
NPI:1699731554
Name:RYLAND, JILL ELAINE (MD)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:ELAINE
Last Name:RYLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5207 HICKORY PARK DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-2624
Mailing Address - Country:US
Mailing Address - Phone:804-377-8981
Mailing Address - Fax:804-377-8984
Practice Address - Street 1:5207 HICKORY PARK DR
Practice Address - Street 2:SUITE C
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-2624
Practice Address - Country:US
Practice Address - Phone:804-377-8981
Practice Address - Fax:804-377-8984
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101051967208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA13849OtherCIGNA
VA178896OtherANTHEM
VA3292051OtherAETNA HMO
VA8133376OtherMAMSI/OPTIMUM CHOICE
VA202916498OtherUNITED HEALTHCARE
VA260983OtherSOUTHERN HEALTH
VA5148020OtherAETNA
VA0101171695Medicaid
VA136951OtherANTHEM HK
VA10706OtherOTIMA FAMILY CARE
VA5148020OtherAETNA
VA3292051OtherAETNA HMO