RYAN JOHN KOTTMEIER (NPI# 1619506714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619506714 |
| Entity Type | Individual |
| Full Name | RYAN JOHN KOTTMEIER |
| Credential | PA |
| Practice Address |
101 Nicolls Road Suny Stony Brook Hospital Dept of Orthopedics Hsc T18, Room 080 Stony Brook NY 11794 |
| Mailing Address |
11 Triangle Dr Setauket NY 11733-1431 |
| Practice Telephone | 6314441478 |
| Mailing Telephone | 6312783410 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 024921 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 NICOLLS ROAD SUNY STONY BROOK HOSPITAL DEPT OF ORTHOPEDICS HSC T18, ROOM 080 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| 1912403189 | Ommul Baneen Ali Fatmi | Student in an Organized Health Care Education/Training Program | Stony Brook Childrens' Hospital - 101 Nicolls Rd, Department of Pediatrics - Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393565 | Cecelia Capozzoli | Physician Assistant | 2500 Nesconset Hwy Bldg 9, Stony Brook, NY 11790-2553 | 2019-12-19 |
| 1235624776 | Katherine Ann Walsh | Physician Assistant | Hsc T12, Room 080, Stony Brook, NY 11794-8122 | 2018-06-27 |
| 1831631779 | Michelle Jack | Physician Assistant | Stony Brook Univ Hosp 101 Nicolls Road Hsc L-4 Rm050, Stony Brook, NY 11794-4927 | 2016-11-09 |
| 1689125312 | Jane Moldovan | Physician Assistant | Stony Brook University Hosp Dept Ofem, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350 | 2016-10-18 |
| 1003284431 | Elizabeth Twite | Physician Assistant | Stony Brook Medicine Dept of E M, 100 Nicolls Road, Stony Brook, NY 11794-8350 | 2015-09-02 |
| 1699177337 | Stephanie Gentile | Physician Assistant | Dept of Emergency Medicine Hsc Level 4 Room, Stony Brook, NY 11794-8350 | 2014-09-25 |
| 1558785816 | Michael Joseph Bulzomi | Physician Assistant | Stony Brook Univ Hosp Dept of E M, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350 | 2014-02-06 |
| 1841621265 | Lauren Kelly Walsh | Physician Assistant | Stony Brook University Dept of Orthopedics, Hsc T18, Room 080, Stony Brook, NY 11794-8181 | 2013-12-11 |
| 1477802965 | Jessica R Themak | Physician Assistant | Stony Brook Emergency Physicians, Ufpc, Hsc L4 Room 080, Stony Brook, NY 11794-8350 | 2012-08-30 |
| 1770889826 | Christine Sara Orioles | Physician Assistant | Hsc T19, Stony Brook, NY 11794-0001 | 2011-02-08 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
Please comment or provide details below to improve the information on RYAN JOHN KOTTMEIER.
| 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.