MRS. RYANE ELAINE FITZWATER


Address: 1101 W Liberty St, Ed Department, Farmington, MO 63640-1921
Phone: 5737608475

MRS. RYANE ELAINE FITZWATER (NPI# 1336499458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336499458
Entity Type Individual
Full Name MRS. RYANE ELAINE FITZWATER
Other Name RYANE CARDEN
Credential PA
Practice Address 1101 W Liberty St
Ed Department
Farmington
MO 63640-1921
Practice Telephone 5737608475
Mailing Telephone 5737608475
Enumeration Date 2012-09-17
Last Update Date 2014-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1101 W LIBERTY ST
ED DEPARTMENT
City FARMINGTON
State MO
Zip Code 63640-1921

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912970880 Vladimir Melyakov Internal Medicine 1101 W Liberty St, Farmington, MO 63640-1921 2006-02-09
1891303053 Parkland Health Center Clinical Medical Laboratory 1101 W Liberty St, Farmington, MO 63640-1921 2020-07-14
1902430481 Nrg-parkland LLC Radiology 1101 W Liberty St, Farmington, MO 63640-1921 2020-02-24
1700342847 Alyssa Michelle Bocci Physician Assistant 1101 W Liberty St, Farmington, MO 63640-1921 2019-02-13
1811414626 Nawaf Al-hashemi Internal Medicine 1101 W Liberty St, Farmington, MO 63640-1921 2017-08-23
1063959104 Southern Missouri Infectious Disease Specialists LLC Internal Medicine 1101 W Liberty St, Farmington, MO 63640 2017-01-27
1265981856 Matthew Akers Nurse Practitioner 1101 W Liberty St, Farmington, MO 63640-1921 2016-09-24
1780037630 Meredith Politte Nurse Practitioner 1101 W Liberty St, Farmington, MO 63640-1921 2016-07-15
1801252812 Alyssa Trautman Dietitian, Registered 1101 W Liberty St, Farmington, MO 63640-1921 2016-01-06
1770957201 Mid-america Clinical Pathology, LLC Pathology 1101 W Liberty St, Farmington, MO 63640-1921 2015-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316545254 Brenda S Halton Nurse Practitioner 1010 West Columbia Street, Farmington, MO 63640 2020-10-13
1619519089 Stacey Nicole Gillette Counselor 17885 Hart Pinkston Rd, Farmington, MO 63640 2019-10-17
1346890696 Christopher Ryan Massey Social Worker 607 Pine St., Farmington, MO 63640 2019-09-18
1457909376 Clarice Ogden Social Worker 203 South Washington Street, Farmington, MO 63640 2019-09-04
1861979718 Clint Thebeau In Home Supportive Care 1276 W Liberty St, Farmington, MO 63640 2018-07-24
1023500600 Lynn Machelle Knox Counselor 219 W Columbia St, Farmington, MO 63640 2018-05-31
1235620576 Kim Bazzell Registered Nurse 1565 Ste. Genevieve Ave., Farmington, MO 63640 2018-05-22
1164919742 Lincare Inc. Durable Medical Equipment & Medical Supplies 774 Market St, Farmington, MO 63640 2018-04-18
1184127813 Michelle Lynette Corvallis Chiropractor 17 South Franklin St., Farmington, MO 63640 2018-03-08
1992206213 Farmington Vision Care LLC Optometrist 110 E Harrison St, Farmington, MO 63640 2018-02-22
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730125386 Randall D. Gauvin Physician Assistant Franklin Memorial Hospital, 111 Franklin Health Commons, Farmington, ME 04938 2006-06-21
1194262006 Brittany N. Rogers Physician Assistant 540 Maple Valley Dr, Farmington, MO 63640-1981 2017-01-30
1528430501 Stephen Smith Physician Assistant 1001 W Broadway, Farmington, NM 87401-5638 2015-10-29
1972944957 Megan S Stock Physician Assistant 406 Farmington Ave, Farmington, CT 06032-1964 2013-07-08
1972859403 Cody W Lewis Physician Assistant 1001 W Broadway, Farmington, NM 87401 2012-08-02
1184927592 Aristides M Bautista Physician Assistant 940 W Pinon St, Farmington, NM 87401 2010-12-08
1124299813 Angela M Hager Physician Assistant 100 Main St, Farmington, WV 26571-0029 2008-03-20
1417126087 Michael E Tortorello I Physician Assistant 21 South Rd, Dermatology, Farmington, CT 06032-2410 2008-02-27
1457530743 Susan Rammer Huntington Physician Assistant 4 Farm Springs Rd, Prohealth Physicians, Farmington, CT 06032-2573 2007-11-02
1992906341 Farmington Emergency Group LLC Physician Assistant 1212 Weber Road, Farmington, MO 63640-3309 2007-05-31
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Competitor

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City FARMINGTON
Zip Code 63640

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Dataset Information

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.

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