RYAN BEADLE (NPI# 1073525655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073525655 |
| Entity Type | Individual |
| Full Name | RYAN BEADLE |
| Credential | P.A. |
| Practice Address |
21550 Angela Ln Venice FL 34293-2017 |
| Practice Telephone | 9414937400 |
| Practice Fax Number | 9414931940 |
| Mailing Telephone | 9414937400 |
| Mailing Fax Number | 9414931940 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9102079 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932576493 | Ryan Beadle | Pharmacist | 699 Wallace Rd Nw, Salem, OR 97304-3834 | 2015-08-31 |
| Street Address |
21550 ANGELA LN |
| City | VENICE |
| State | FL |
| Zip Code | 34293-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891984977 | Amy Marie Murphy | Physician Assistant | 21550 Angela Ln, Venice, FL 34293-2017 | 2007-10-15 |
| 1770608937 | Coast Dermatology and Skin Cancer Center Pa | Specialist | 21550 Angela Ln, Venice, FL 34293-2017 | 2007-03-20 |
| 1760553630 | John Gregory Neily | Specialist | 21550 Angela Ln, Venice, FL 34293-2017 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1841847720 | Joseph Matthew Adkins | Nurse Practitioner | 417 Lake of The Woods Dr, Venice, FL 34293 | 2019-08-24 |
| 1861047375 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12165 Mercado Drive, Venice, FL 34293 | 2019-08-02 |
| 1265084107 | Safecare Transport, LLC | Non-emergency Medical Transport (VAN) | 18821 Bianchi Strret, Venice, FL 34293 | 2019-07-11 |
| 1932621869 | Mike Andry | Hearing Instrument Specialist | 4238 S. Tamiami Trail, Venice, FL 34293 | 2017-07-12 |
| 1659729861 | Danielle Gibellina | Occupational Therapy Assistant | 1507 S. Tuttle Ave, Magnolia Rehabilitation Center, Sarasota, FL 34293 | 2016-05-27 |
| 1891142501 | Jessica Kontoes | Behavioral Analyst | 19503 West Villages Parkway, A11, Venice, FL 34293 | 2016-05-23 |
| 1093161770 | Jillian Hinds | Behavioral Analyst | 19503 West Villages Pkwy, A11, Venice, FL 34293 | 2016-05-11 |
| 1003211509 | Roselle Joyce Beltran | Physical Therapist | 5865 Osprey Road, Venice, FL 34293 | 2014-10-27 |
| 1144649799 | Wendy Zinck-ladd | Case Manager/Care Coordinator | 19503 S.w.villages Parkway, Bldg. A, North Port, FL 34293 | 2014-04-10 |
| Find all providers in zip 34293 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730250 | Ciara O'connor | Physician Assistant | 836 Sunset Lake Blvd Ste 102, Venice, FL 34292-7555 | 2019-09-25 |
| 1386005585 | Maris Smith | Physician Assistant | 429 Park Lane Dr, Venice, FL 34285-1424 | 2016-03-15 |
| 1205259108 | Michelle Emily Fallis | Physician Assistant | 8431 Pointe Loop Dr Fl 1, Venice, FL 34293 | 2014-01-28 |
| 1942556121 | Charles Michael Kayat | Physician Assistant | 109 Venice Palms Blvd, Venice, FL 34292-2446 | 2012-07-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1265669311 | James E Asaph | Physician Assistant | 1505 Tamiami Trl S Ste 405, Venice, FL 34285-5547 | 2009-06-16 |
| 1922167550 | Krista Rene Gorman | Physician Assistant | 959 E Venice Ave, Venice, FL 34285-7056 | 2006-12-08 |
| 1851472187 | Michael A Banuchi | Physician Assistant | 1295 Jacaranda Blvd., Venice, FL 34292-4522 | 2006-10-17 |
| 1679669402 | Barbara B. Burke | Physician Assistant | 516 Venezia Pkwy, Venice, FL 34285 | 2006-10-05 |
| 1063465623 | Thomas Lekavich | Physician Assistant | 389 Commercial Ct, Ste D2, Venice, FL 34292-1617 | 2006-05-17 |
| Find all providers in VENICE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.