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

Jack Ryan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639010986

Jack Ryan, DO is a Student in an Organized Health Care Education/Training Program in Roanoke, Virginia. Licensed in Virginia. Registered with an NPI since 2026.

Licensed in
VA
In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (404) 884-5923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (VA)

Record details

NPI number1639010986
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address1906 Belleview Ave Se, Roanoke, VA 24014-1838

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