Provider Demographics
NPI:1174878482
Name:ESCHBAUGH, RYAN LEE (DO)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:LEE
Last Name:ESCHBAUGH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7442 FRANK AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7022
Mailing Address - Country:US
Mailing Address - Phone:330-305-0838
Mailing Address - Fax:330-491-2051
Practice Address - Street 1:7442 FRANK AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7022
Practice Address - Country:US
Practice Address - Phone:330-305-0838
Practice Address - Fax:330-491-2051
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.012824207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery