AMANDA E BRYAN (NPI# 1265611818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265611818 |
| Entity Type | Individual |
| Full Name | AMANDA E BRYAN |
| Credential | PAC |
| Practice Address |
1520 S Main St Suite 3 Dayton OH 45409-2698 |
| Practice Telephone | 9372087240 |
| Practice Fax Number | 9372087242 |
| Mailing Telephone | 9372087240 |
| Mailing Fax Number | 9372087242 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2013-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50002691 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0067774 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795010 | Amanda Renee Bryan | Pharmacy Technician | 2700 Ne University Village St, Seattle, WA 98105-5016 | 2019-11-19 |
| 1164962304 | Amanda Erin Brody Bryan | Psychologist | 2901 Ne Blakeley St Ste 3b, Seattle, WA 98105-3168 | 2017-03-07 |
| 1073925822 | Amanda Bryan | Pharmacist | 307 Beaman St, Clinton, NC 28328-2907 | 2014-05-28 |
| Street Address |
1520 S MAIN ST SUITE 3 |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366434995 | Mohammed Mazen Dallal | Internal Medicine | 1520 S Main St, # 2, Dayton, OH 45409-2698 | 2005-08-19 |
| 1184006934 | Jennifer Lynn Long | Registered Nurse | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2015-06-28 |
| 1669872958 | Tatum Toscani | Registered Nurse | 1520 S Main St, Dayton, OH 45409-2698 | 2014-08-25 |
| 1629485933 | Scarlet Burger | Specialist | 1520 S Main St, Suite 3, Dayton, OH 45409-2698 | 2014-07-18 |
| 1578903209 | Mark James Burger | Perfusionist | 1520 S Main St, Suite 3, Dayton, OH 45409-2698 | 2013-06-26 |
| 1437450335 | Jennifer Laine Chronaberry | Registered Nurse | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2010-11-09 |
| 1689984528 | Amy C. Barton | Registered Nurse | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2010-10-13 |
| 1306171384 | Gabriel Joe Hays | Internal Medicine | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2009-10-09 |
| 1295964997 | Soumitra Sen | Internal Medicine | 1520 S Main St, Suite 2, Dayton, OH 45409-2698 | 2009-07-02 |
| 1356581557 | Brandy Jo Crouch | Registered Nurse | 1520 S Main St, Dayton, OH 45409-2698 | 2009-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841744331 | Jessica Leigh Cochran | Physician Assistant | 188 16th Ave Ste 107, Dayton, TN 37321-1037 | 2016-08-12 |
| 1619073830 | Terri Long | Physician Assistant | 8934 Kingsridge Dr Ste 102, Dayton, OH 45458-1633 | 2006-09-15 |
| 1790126282 | Christopher Lynn Atkins | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2013-07-11 |
| 1669754065 | Alliance Physician Inc | Physician Assistant | 405 W Grand Ave, Or Dept, Dayton, OH 45405-4720 | 2011-09-13 |
| 1619258068 | Mackenzie E. T. Graham | Physician Assistant | One Wyoming Street, Dayton, OH 45409 | 2011-08-30 |
| 1992092886 | Devi S Kadakia | Physician Assistant | 30 E Apple St Ste 5253, Dayton, OH 45409 | 2011-06-29 |
| 1932416161 | Heather Nicole Short | Physician Assistant | 9000 N Main St, Suite 333, Dayton, OH 45415-1180 | 2010-09-09 |
| 1356485700 | Cheryl Chasteen-seibert | Physician Assistant | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2007-02-19 |
| 1194865345 | Troy Miller | Physician Assistant | 30 E Apple St, Ste 1480, Dayton, OH 45409-2939 | 2007-02-07 |
| 1780770057 | Kerry Kunrong Nie | Physician Assistant | 30 E Apple St, Ste 1480, Dayton, OH 45409-2939 | 2006-10-05 |
| Find all providers in DAYTON | ||||
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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.