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

Dr. Ryan William Stidham, MD

Individual provider Gastroenterology Physician · NPI 1467517797

Dr. Ryan William Stidham, MD is a Gastroenterology in Jacksonville, Florida. Graduated from University of Virginia School of Medicine in 2005, 21 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Michigan.

Years since qualifying
21
Trained at
University of Virginia School of Medicine
Licensed in
FL, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 — (734) 936-4000

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence ME177402 (FL)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 4301091691 (MI)

Record details

NPI number1467517797
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 27, 2006
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations17 on file with Medicare

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