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

Ryan Korodan

Individual provider Certified Registered Nurse Anesthetist · NPI 1861064842

Ryan Korodan is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2022, 4 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group and works from 2 locations. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2799 W Grand Blvd Fl 3
Detroit, MI 48202-2608
Phone: (313) 916-8078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16981 Kensington Dr, Macomb, MI 48044-4093 — (586) 604-1952

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704285840 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704285840 (MI)

Record details

NPI number1861064842
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 11, 2021
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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