PAUL RYAN PETSCHE (NPI# 1104329176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104329176 |
| Entity Type | Individual |
| Full Name | PAUL RYAN PETSCHE |
| Credential | CNP |
| Practice Address |
5250 Socialville Foster Rd Mason OH 45040-9302 |
| Practice Telephone | 5132315698 |
| Mailing Telephone | 5132315698 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.020398 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669552279 | Paul Edward Petsche | Dentist | 2760 Se 17th St, Suite 402, Ocala, FL 34471-5571 | 2006-10-17 |
| Street Address |
5250 SOCIALVILLE FOSTER RD |
| City | MASON |
| State | OH |
| Zip Code | 45040-9302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
| 1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
| 1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
| 1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
| 1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
| 1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
| 1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
| 1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
| Find all providers in zip 45040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962623 | Kelsey Kilgore | Nurse Practitioner | 175 Hurricane Hill Rd, Mason, NH 03048-3903 | 2020-08-12 |
| 1346883816 | Sara Frances Martinez-williams | Nurse Practitioner | 3610 Road Runner Ridge, Mason, TX 76856-1294 | 2019-10-28 |
| 1326694274 | Marie Cho Gregory | Nurse Practitioner | 4605 Duke Dr, Mason, OH 45040-9410 | 2019-08-16 |
| 1972035574 | Megha Hasmukhbhai Patel | Nurse Practitioner | 516 Snider Ct, Mason, OH 45040-1381 | 2017-04-01 |
| 1154853141 | Tracy Knapmeyer Justice | Nurse Practitioner | 5876 Stone Trace Dr, Mason, OH 45040-8312 | 2017-03-30 |
| 1639500259 | Catherine Mary Vonderhaar | Nurse Practitioner | 7622 Brookfarm Ct, Mason, OH 45040-7028 | 2013-12-07 |
| 1831154038 | Nancy Lynn Hogan | Nurse Practitioner | 5298 Socialville Foster Rd, Mason, OH 45040-9302 | 2006-04-19 |
| 1194335521 | Lindsay Leann Fisher | Nurse Practitioner | 4201 Aero Dr, Mason, OH 45040-8818 | 2020-07-31 |
| 1396375952 | Kevin Thomas Hartley | Nurse Practitioner | 6213 Snider Rd Ste A, Mason, OH 45040-2643 | 2020-01-23 |
| 1134759236 | Meghan Hossein | Nurse Practitioner | 5100 Terra Firma Dr, Mason, OH 45040-8087 | 2020-01-17 |
| Find all providers in MASON | ||||
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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.