RYAN O'KELLY (NPI# 1356900591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356900591 |
| Entity Type | Individual |
| Full Name | RYAN O'KELLY |
| Credential | PA-C |
| Practice Address |
285 Promenade St Providence RI 02908 |
| Mailing Address |
200 Crossings Blvd Ste 310 Warwick RI 02886-2872 |
| Practice Telephone | 4017777000 |
| Practice Fax Number | 4014594010 |
| Mailing Telephone | 4017777000 |
| Mailing Fax Number | 4014594010 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA01154 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 77 Service Rd, West Warwick, RI 028937714 | 4015002509 |
| Street Address |
285 PROMENADE ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306834056 | Robert A. Riebe | Specialist/Technologist | 285 Promenade St, Providence, RI 02908-5719 | 2005-10-06 |
| 1114583986 | Sophie Gormley | Occupational Therapist | 285 Promenade St, Providence, RI 02908-5794 | 2019-05-16 |
| 1023527215 | Alaina Lynn Denoncour | Physical Therapist | 285 Promenade St, Providence, RI 02908-5794 | 2017-09-20 |
| 1770009003 | Kevin Michael Carey | Occupational Therapist | 285 Promenade St, Providence, RI 02908-5794 | 2017-08-18 |
| 1073973970 | David Anthony Interlini | Physician Assistant | 285 Promenade St, Providence, RI 02908-5794 | 2016-03-04 |
| 1144605932 | Orthopedics Rhode Island, Inc | Physical Therapist | 285 Promenade St, Providence, RI 02908-5794 | 2015-07-22 |
| 1396154464 | Amanda Mckenna | Physical Therapist | 285 Promenade St, Providence, RI 02908-5794 | 2014-08-04 |
| 1487087029 | Steven Joseph Rocha | Physical Therapist | 285 Promenade St, Providence, RI 02908 | 2013-08-19 |
| 1902240898 | Akshay Yadhati | Orthopaedic Surgery | 285 Promenade St, Providence, RI 02908-5794 | 2013-04-22 |
| 1174874358 | Christine Michele Saleeba | Physical Therapist | 285 Promenade St, Providence, RI 02908 | 2012-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558841999 | Lindsey Scherer | Physician Assistant | 825 Chalkstone Ave, Providence, RI 02908 | 2018-08-15 |
| 1134658339 | Kevin P Santilli | Physician Assistant | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-09 |
| 1194260984 | Brittany Hogan | Physician Assistant | 593 Eddy St, 6th Floor, Providence, RI 02903-4923 | 2017-01-03 |
| 1356789549 | Michelle Bernice Ristuccia | Physician Assistant | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2013-06-10 |
| 1356691430 | Kelvin Nam Doan | Physician Assistant | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2012-09-14 |
| 1588911457 | Britta Renzulli | Physician Assistant | 2 Dudley St, Suite 190, Providence, RI 02905-3236 | 2012-08-10 |
| 1174896211 | Stephanie Slone | Physician Assistant | 593 Eddy St, Providence, RI 02903-4923 | 2012-02-21 |
| 1316210545 | Peter Richard Mello | Physician Assistant | 118 Dudley St, Providence, RI 02905-2403 | 2012-02-19 |
| 1679844807 | Joseph Paul Paciello | Physician Assistant | 2 Dudley St, Providence, RI 02905-3236 | 2012-01-19 |
| 1023306156 | Linhuang Han | Physician Assistant | 593 Eddy St, Main 4, Providence, RI 02903-4923 | 2011-07-11 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on RYAN O'KELLY.
| 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.