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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1101 W LIBERTY ST ED DEPARTMENT |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1921 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on MRS. RYANE ELAINE FITZWATER.
| 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.