KEVIN RYAN (NPI# 1548769524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548769524 |
| Entity Type | Individual |
| Full Name | KEVIN RYAN |
| Credential | PA-C |
| Practice Address |
12 High Street Suite 102 Lewiston ME 04240 |
| Mailing Address |
364 Main Street Lewiston ME 04240-7029 |
| Practice Telephone | 2077844539 |
| Mailing Telephone | 2073307255 |
| Mailing Fax Number | 2077957193 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1811272263 | Kevin Michael Ryan | Optometrist | 5201 W War Memorial Dr, Peoria, IL 61615-9222 | 2011-10-17 |
| 1326341645 | Kevin Patrick Ryan | Physical Therapist | 1111 W North 12th St, Shelbyville, IL 62565-9554 | 2010-12-08 |
| 1033398284 | Kevin Thomas Ryan | Marriage & Family Therapist | 119 E 2nd St Ste 216, The Dalles, OR 97058-1796 | 2007-10-24 |
| 1790809663 | Kevin A Ryan | Dentist | 5312 Carolina Pl, Springfield, VA 22151-4401 | 2007-03-18 |
| 1033252465 | Kevin J Ryan | Counselor | 5127 Troon Ln, Durham, NC 27712-1829 | 2007-02-15 |
| 1346309275 | Kevin S Ryan | Physical Therapist | 30 Great Rd Ste 105, Acton, MA 01720 | 2006-12-06 |
| 1184796062 | Kevin Peter Ryan | Chiropractor | 7151 El Cajon Blvd Ste J, San Diego, CA 92115-1819 | 2006-11-15 |
| 1326066614 | Kevin Shawn Ryan | Dentist | 510 Simpson Howell Rd, Elizabeth, PA 15037-2818 | 2006-07-17 |
| 1790717759 | Kevin Padric Ryan | Pharmacy | 4727 Denver Avenue South, C/o Bartell Drug Company, Seattle, WA 98134-2316 | 2006-07-07 |
| Street Address |
12 HIGH STREET SUITE 102 |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| 1225411036 | Woodlands Senior Living of Lewiston, LLC | Alzheimer Center (Dementia Center) | 45 Mollison Way, Lewiston, ME 04240 | 2015-06-30 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134773294 | Alyssa Mae Gunville | Physician Assistant | 12 High St Ste 401, Lewiston, ME 04240-7690 | 2019-07-27 |
| 1316590946 | Jonathan Mcdonough | Physician Assistant | 60 High St, Cmhvi Y1, Lewiston, ME 04240-7616 | 2019-07-23 |
| 1003380957 | Hannah Stonebreaker | Physician Assistant | 12 High St Ste 401, Lewiston, ME 04240-7690 | 2019-01-14 |
| 1750839023 | Rychael Morton | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2016-09-15 |
| 1679941553 | Kaden J Thueson | Physician Assistant | 320 Warner Dr, Lewiston, ID 83501-4441 | 2015-09-09 |
| 1396112918 | Kate Grygiel | Physician Assistant | 12 High St, Ste 401, Lewiston, ME 04240-7676 | 2015-08-31 |
| 1881091387 | Tiffany Eisenhauer | Physician Assistant | 60 High St, Lewiston, ME 04240-7616 | 2014-11-26 |
| 1083028674 | Gillian M Croteau | Physician Assistant | 12 High St, Suite 102, Lewiston, ME 04240-7676 | 2014-06-11 |
| 1245516723 | Kevin Taylor Quigley | Physician Assistant | 60 High St, Lewiston, ME 04240-7616 | 2011-10-27 |
| 1225335151 | Sharon J Brezinski | Physician Assistant | 287 Main St, Ste.302, Lewiston, ME 04240-7054 | 2011-02-11 |
| Find all providers in LEWISTON | ||||
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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.