RYAN MATTHEW QUARLESS (NPI# 1528016797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528016797 |
| Entity Type | Individual |
| Full Name | RYAN MATTHEW QUARLESS |
| Credential | P.A |
| Practice Address |
3001 Lyndhurst Ave Winston-salem NC 27103-4007 |
| Practice Telephone | 3367650383 |
| Practice Fax Number | 3367681737 |
| Mailing Telephone | 3367650383 |
| Mailing Fax Number | 3367681737 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
103644 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3001 LYNDHURST AVE |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134177306 | Luke Alexander Pearsall | Physician Assistant | 3001 Lyndhurst Ave, Winston-salem, NC 27103-4007 | 2006-05-04 |
| 1801878632 | Spectrum Medical Group Pa | Internal Medicine | 3001 Lyndhurst Ave, Winston-salem, NC 27103-4007 | 2005-11-17 |
| 1316929102 | Barry William Sigal | Internal Medicine | 3001 Lyndhurst Ave, Winston-salem, NC 27103-4007 | 2005-11-17 |
| 1386626240 | Reginald Jaye Fowler Jr. | Internal Medicine | 3001 Lyndhurst Ave, Winston-salem, NC 27103 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235351891 | Brenda W. Mckinney | Physician Assistant | Medical Center Blvd - Employee Health, Meads Hall - Ground Floor, Winston-salem, NC 27157-0001 | 2007-05-03 |
| 1376671503 | Frances C Greenlee | Physician Assistant | Lower Level Reynolds Gym-wingate Rd, Wingate Rd, Winston-salem, NC 27109-7386 | 2007-03-01 |
| 1588623003 | Mark Lee Seatvet | Physician Assistant | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-22 |
| 1922216969 | Marilyn Mcgrath Bullaboy | Physician Assistant | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2007-05-21 |
| 1215974811 | Jennifer Hughes Chapman | Physician Assistant | 799 Hickory Tree Rd, Winston-salem, NC 27127-9139 | 2006-06-01 |
| 1871546275 | Debbie Adams Hauser | Physician Assistant | 1400 Westgate Center Dr, Winston-salem, NC 27103-3104 | 2006-05-18 |
| 1134177306 | Luke Alexander Pearsall | Physician Assistant | 3001 Lyndhurst Ave, Winston-salem, NC 27103-4007 | 2006-05-04 |
| 1760445118 | Paul Warren Bailey | Physician Assistant | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-07 |
| 1114987971 | William Benjamin Smith IIi | Physician Assistant | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-24 |
| 1639139512 | Arthur Thomas Coppley | Physician Assistant | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-24 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on RYAN MATTHEW QUARLESS.
| 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.