Provider Demographics
NPI:1851508246
Name:FOOR, RYAN GREGORY (DO)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:GREGORY
Last Name:FOOR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1716
Mailing Address - Country:US
Mailing Address - Phone:740-454-4585
Mailing Address - Fax:740-454-4008
Practice Address - Street 1:2800 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1716
Practice Address - Country:US
Practice Address - Phone:740-454-4585
Practice Address - Fax:614-544-0102
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.009151207P00000X, 207Q00000X
OH261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care