ROBERT RYAN TRAYLOR (NPI# 1336336106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336336106 |
| Entity Type | Individual |
| Full Name | ROBERT RYAN TRAYLOR |
| Credential | CRNP |
| Practice Address |
1500 E 17th Ave Columbus OH 43219 |
| Mailing Address |
2780 Airport Dr Ste 100 Columbus OH 43219-2289 |
| Practice Telephone | 6146452700 |
| Practice Fax Number | 6146455517 |
| Mailing Telephone | 6148591906 |
| Mailing Fax Number | 6146455517 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2019-10-03 |
| 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.09544 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704309797 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP009855 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.09544-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25701 W 12 Mile Rd, Apt. 202, Southfield, MI 480341822 | 2154953142 | 2154953142 |
| Street Address |
1500 E 17TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841258274 | Kathleen Ellen Talbot | Family Medicine | 1500 E 17th Ave, Columbus, OH 43219-1002 | 2006-05-03 |
| 1508350836 | Monica Davis | Social Worker | 1500 E 17th Ave, Columbus, OH 43219-1002 | 2018-06-20 |
| 1831621184 | Ginny A Isaq | Nurse Practitioner | 1500 E 17th Ave, Columbus, OH 43219-1002 | 2017-03-28 |
| 1003281064 | Rashid Shaibu | Registered Nurse | 1500 E 17th Ave, Columbus, OH 43219-1002 | 2015-12-02 |
| 1952722316 | Stacy Hall | Registered Nurse | 1500 E 17th Ave, Columbus, OH 43219-1002 | 2014-01-02 |
| 1326483447 | David William Tessier | Family Medicine | 1500 E 17th Ave, Columbus, OH 43219-1002 | 2013-05-02 |
| 1669725917 | Ondine Ngwashi Ngossa Konteh | Nurse Practitioner | 1500 E 17th Ave, Columbus, OH 43219-1002 | 2012-10-24 |
| 1760762520 | Allie M. Marohl | Advanced Practice Midwife | 1500 E 17th Ave, Columbus, OH 43219 | 2011-08-25 |
| 1306137112 | Kelsey Bastin Snavely | Social Worker | 1500 E 17th Ave, Columbus, OH 43219-1002 | 2011-04-27 |
| 1851588602 | Gladys Amma Oduro Manu | Nurse Practitioner | 1500 E 17th Ave, Columbus, OH 43219-1002 | 2007-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430844 | Pdq Transportation Inc | Secured Medical Transport (VAN) | 1640 E 5th Ave, Columbus, OH 43219 | 2020-06-06 |
| 1366066599 | Urban Limousine LLC | Secured Medical Transport (VAN) | 1640 E. 5th Ave, Columbus, OH 43219 | 2020-06-03 |
| 1841757879 | Camille Cook | Nurse Practitioner | 4200 Regent St. Suite 200, Columbus, OH 43219 | 2019-02-26 |
| 1164904595 | Vida Yeboah | Registered Nurse | 2320 Doneen Dr, Columbus, OH 43219 | 2018-09-01 |
| 1407373129 | Chevon Marie Wiseman | Nurse's Aide | 2835 Jared Pl, Columbus, OH 43219 | 2017-08-23 |
| 1952826737 | Hilary Schadle Demostenes | Social Worker | 2780 Airport Dr, Suite 100 - Billing/credentialing Dept., Columbus, OH 43219 | 2017-08-14 |
| 1851833800 | Amanda Yahn | Student in an Organized Health Care Education/Training Program | 2469 Stelzer Road, Bradford School, Columbus, OH 43219 | 2016-11-08 |
| 1215312939 | Taylor Weary | Student in an Organized Health Care Education/Training Program | 2649 Stelzer Rd, Columbus, OH 43219 | 2015-07-23 |
| 1568846715 | Brenton Semplak | Student in an Organized Health Care Education/Training Program | 2469 Stelzer Rd., Columbus, OH 43219 | 2015-07-17 |
| 1811384746 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4142 Seward Street, Suite F105, Columbus, OH 43219 | 2015-04-17 |
| Find all providers in zip 43219 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
| 1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
| 1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
| 1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
| 1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
| 1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
| 1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
| 1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
| 1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| Find all providers in COLUMBUS | ||||
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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.