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

Holly Ryan, MD

Individual provider Vascular Surgery Physician · NPI 1730610015

Holly Ryan, MD is a Vascular Surgery in Salt Lake City, Utah. Qualified in 2017, 9 years ago. Practices with Mountainstar Cardiovascular Services LLC, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2017
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

1160 E 3900 S Ste 3100
Salt Lake City, UT 84124-1202
Phone: (801) 262-2806
Fax: (801) 262-2023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 13423932-1205 (UT)

Record details

NPI number1730610015
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2017
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing addressPo Box 281490, Atlanta, GA 30384-1490

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mountainstar Cardiovascular Services Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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