RYAN SNOWDEN (NPI# 1235414715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235414715 |
| Entity Type | Individual |
| Full Name | RYAN SNOWDEN |
| Credential | PA |
| Practice Address |
2110 Fox Dr Champaign IL 61820-7553 |
| Mailing Address |
101 W University Ave Champaign IL 61820-3909 |
| Practice Telephone | 2173661237 |
| Practice Fax Number | 2173666106 |
| Mailing Telephone | 2173661326 |
| Mailing Fax Number | 2173666106 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085004142 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972861680 | Ryan Dane Snowden | Orthopaedic Surgery | 8 City Blvd Ste 300, Nashville, TN 37209 | 2012-05-01 |
| Street Address |
2110 FOX DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-7553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376544585 | Brian Neal Shore | Physician Assistant | 2110 Fox Dr, Champaign, IL 61820-7553 | 2005-08-10 |
| 1669909644 | Bethany Lynn Zich | Physical Therapist | 2110 Fox Dr, Champaign, IL 61820-7553 | 2017-05-22 |
| 1336695550 | Olivia Martin | Physical Therapist | 2110 Fox Dr, Champaign, IL 61820-7553 | 2016-08-28 |
| 1932541927 | Muthana Sartawi | Orthopaedic Surgery | 2110 Fox Dr, Champaign, IL 61820-7553 | 2013-07-19 |
| 1083984199 | James Sweeney | Physical Therapy Assistant | 2110 Fox Dr, Champaign, IL 61820-7553 | 2012-01-05 |
| 1447542287 | Kathryn L. Dhom | Physical Therapy Assistant | 2110 Fox Dr, Champaign, IL 61820-7553 | 2011-05-12 |
| 1942518162 | Rachel Marie Zubricky | Physical Therapist | 2110 Fox Dr, Champaign, IL 61820-7553 | 2010-09-22 |
| 1326271255 | Danielle Marie Colvin | Physical Therapist | 2110 Fox Dr, Champaign, IL 61820-7553 | 2009-08-26 |
| 1750552881 | Denis A. Williams | Orthopaedic Surgery | 2110 Fox Dr, Champaign, IL 61820-7553 | 2008-03-17 |
| 1093893430 | Scott A Paluska | Family Medicine | 2110 Fox Dr, Champaign, IL 61820-7553 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| 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 |
|---|---|---|---|---|
| 1992134241 | Heather Michelle Nobles | Physician Assistant | 2408 Heathrow Dr, Apartment 14, Champaign, IL 61820-2385 | 2013-11-07 |
| 1720066251 | Heather Konzelmann | Physician Assistant | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2006-01-05 |
| 1598752628 | Kori L Carroll | Physician Assistant | 3105 Fields South Dr, Champaign, IL 61822-3743 | 2005-10-04 |
| 1376544585 | Brian Neal Shore | Physician Assistant | 2110 Fox Dr, Champaign, IL 61820-7553 | 2005-08-10 |
| 1376166264 | Carlos Rodolfo Bocanegra Cordova | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2020-05-26 |
| 1992324941 | Ryan Jordan Minier | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2020-04-10 |
| 1720619232 | Jacob Blasingame | Physician Assistant | 2300 S 1st St, Champaign, IL 61820-7661 | 2020-02-03 |
| 1790320802 | Amy Beth Kutska | Physician Assistant | 101 W University Ave, Champaign, IL 61820-3981 | 2019-11-12 |
| 1316592637 | Carrie Elizabeth Keenan | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2019-08-04 |
| 1093283954 | River Andres | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2018-11-08 |
| Find all providers in CHAMPAIGN | ||||
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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.