Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jesse Thomas Ryan, MD

Individual provider Otolaryngology Physician · NPI 1285792143

Dr. Jesse Thomas Ryan, MD is an Otolaryngology in Liverpool, New York. Graduated from Icahn School of Medicine at Mount Sinai in 2005, 21 years ago. Practices with Physician Care PC, a 77-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Michigan, North Dakota, New York and Virginia.

Years since qualifying
21
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
MI, ND, NY, VA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5100 W Taft Rd Ste 3E
Liverpool, NY 13088-3809
Phone: (315) 452-2350
Fax: (315) 452-2355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 — (734) 936-8051
  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 — (734) 936-8051
  • 750 E Adams St, Syracuse, NY 13210-2306 — (315) 464-4636
  • 4900 Broad Rd, Syracuse, NY 13215-2265 — (315) 464-4636

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 279632-1 (NY)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 0101240508 (VA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 12940 (ND)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 4301104789 (MI)

Record details

NPI number1285792143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESMarch 17, 2018
Mailing address750 E Adams St Rm 241, Syracuse, NY 13210-2306

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2005 (21 years in practice)
Group practice Physician Care Pc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Liverpool