KEVIN M RYAN (NPI# 1295763100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295763100 |
| Entity Type | Individual |
| Full Name | KEVIN M RYAN |
| Credential | PAAA |
| Practice Address |
1000 Medical Center Blvd Lawrenceville GA 30046-0000 |
| Mailing Address |
Po Box 551420 Fort Lauderdale FL 33355-1420 |
| Practice Telephone | 7702773056 |
| Practice Fax Number | 8552045244 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 9548392569 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 001975 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100001297A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1811272263 | Kevin Michael Ryan | Optometrist | 5201 W War Memorial Dr, Peoria, IL 61615-9222 | 2011-10-17 |
| 1326341645 | Kevin Patrick Ryan | Physical Therapist | 1111 W North 12th St, Shelbyville, IL 62565-9554 | 2010-12-08 |
| 1033398284 | Kevin Thomas Ryan | Marriage & Family Therapist | 119 E 2nd St Ste 216, The Dalles, OR 97058-1796 | 2007-10-24 |
| 1790809663 | Kevin A Ryan | Dentist | 5312 Carolina Pl, Springfield, VA 22151-4401 | 2007-03-18 |
| 1033252465 | Kevin J Ryan | Counselor | 5127 Troon Ln, Durham, NC 27712-1829 | 2007-02-15 |
| 1346309275 | Kevin S Ryan | Physical Therapist | 30 Great Rd Ste 105, Acton, MA 01720 | 2006-12-06 |
| 1184796062 | Kevin Peter Ryan | Chiropractor | 7151 El Cajon Blvd Ste J, San Diego, CA 92115-1819 | 2006-11-15 |
| 1326066614 | Kevin Shawn Ryan | Dentist | 510 Simpson Howell Rd, Elizabeth, PA 15037-2818 | 2006-07-17 |
| Street Address |
1000 MEDICAL CENTER BLVD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203757 | Peter J Kaplan | Specialist | 1000 Medical Center Blvd, Lawrenceville, GA 30045-7694 | 2005-05-24 |
| 1780281469 | Khatija Jivani | Pharmacist | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-10-06 |
| 1780298356 | Jennifer Nicole Venable | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-09-01 |
| 1639782378 | Tehzeeb Babwani | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-08-24 |
| 1801417480 | Northside Hospital Inc | Pharmacy | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-05-05 |
| 1851929996 | Mclean Davies | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-04-01 |
| 1861029423 | Jaemi Chu | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1548897267 | Sharul Saxena | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1235766148 | Nahayo Esperant-hilaire | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-23 |
| 1982239596 | Riley Claire Cullen | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346703758 | Alexander Lee | Anesthesiologist Assistant | 1228 Christiana Xing, Lawrenceville, GA 30043-7007 | 2019-04-11 |
| 1194252379 | Manuela Botero | Anesthesiologist Assistant | 1209 Lochshyre Ct, Lawrenceville, GA 30043-4474 | 2017-05-18 |
| 1699962738 | Ndidi O Walker | Anesthesiologist Assistant | 575 Profession Drive, Ste. 165, Lawrenceville, GA 30046-3333 | 2007-10-03 |
| 1780298356 | Jennifer Nicole Venable | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-09-01 |
| 1639782378 | Tehzeeb Babwani | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-08-24 |
| 1508400078 | Eui Jong | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2019-10-29 |
| 1326533266 | Moon Young Jung | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046 | 2018-06-23 |
| 1831607142 | Betsy Eleane Cuenca | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2018-01-21 |
| 1093263899 | Lin Thi Bui | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2016-09-21 |
| 1992161624 | Benita Merin Mathew | Anesthesiologist Assistant | 575 Professional Dr, #165, Lawrenceville, GA 30046-3333 | 2016-01-11 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on KEVIN M RYAN.
| 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.