RYAN MAZZONE (NPI# 1689087140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689087140 |
| Entity Type | Individual |
| Full Name | RYAN MAZZONE |
| Credential | PA |
| Practice Address |
6600 W Broad St Ste 300 Richmond VA 23230 |
| Mailing Address |
1000 Boulders Pkwy Ste 102 North Chesterfield VA 23225-5515 |
| Practice Telephone | 8043204243 |
| Practice Fax Number | 8046220552 |
| Mailing Telephone | 8043204243 |
| Mailing Fax Number | 8046220552 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2018-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1602 Skipwith Rd, Richmond, VA 232295205 | 8042894500 |
| Street Address |
6600 W BROAD ST STE 300 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173024 | Daniel Ray Smith | Internal Medicine | 6600 W Broad St Ste 300, Richmond, VA 23230-1709 | 2005-06-13 |
| 1497074561 | John T Sentz | Internal Medicine | 6600 W Broad St Ste 300, Richmond, VA 23230-1709 | 2010-05-27 |
| 1225246861 | Sujoy Gill | Internal Medicine | 6600 W Broad St Ste 300, Richmond, VA 23230-1709 | 2007-05-18 |
| 1477565174 | Sridhar Neralla | Internal Medicine | 6600 W Broad St Ste 300, Richmond, VA 23230-1709 | 2006-08-12 |
| 1225058050 | Andrea K Miksa | Internal Medicine | 6600 W Broad St Ste 300, Richmond, VA 23230-1709 | 2006-07-21 |
| 1003832817 | Michael A Mistretta | Internal Medicine | 6600 W Broad St Ste 300, Richmond, VA 23230-1709 | 2006-07-14 |
| 1972529717 | Kenneth S Haft | Internal Medicine | 6600 W Broad St Ste 300, Richmond, VA 23230-1709 | 2006-07-14 |
| 1194741959 | Shawn C Mclane | Internal Medicine | 6600 W Broad St Ste 300, Richmond, VA 23230-1709 | 2006-07-14 |
| 1356367171 | Scott K Radow | Internal Medicine | 6600 W Broad St Ste 300, Richmond, VA 23230-1709 | 2006-07-14 |
| 1275559072 | Mir T Ali | Internal Medicine | 6600 W Broad St Ste 300, Richmond, VA 23230-1709 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265935712 | Anne Ganje | Dietitian, Registered | 6627 West Broad Street, Suite 400, Richmond, VA 23230 | 2018-03-12 |
| 1225537285 | Paul Dearman | Counselor | 4906 Cutshaw Ave Suite 105, Richmond, VA 23230 | 2018-02-06 |
| 1235647041 | Renewal Counseling & Consulting, LLC | Social Worker | 4914 Fitzhugh Ave Ste 101, Richmond, VA 23230 | 2018-01-15 |
| 1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
| 1104377530 | 1st Advanced Pediatric &adult Healthcare Services LLC | Home Health | 1518 Williow Lawn Dr., Richmond, VA 23230 | 2016-10-20 |
| 1952769770 | Geriatric Health Solutions LLC | Internal Medicine | 5602 Markel Road, Suite 102, Richmond, VA 23230 | 2016-02-08 |
| 1497148480 | We Help Our Adolescents | Community/Behavioral Health | 6010 West Broad St., Suite 103, Richmond, VA 23230 | 2015-03-14 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| Find all providers in zip 23230 | ||||
| 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 |
|---|---|---|---|---|
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1306460316 | Humaira Farukh | Physician Assistant | 13903 Carncross Ct, Richmond, TX 77407-1007 | 2020-06-04 |
| 1609413640 | Abigail Marie Stone | Physician Assistant | 16 N Vine St Apt 213, Richmond, VA 23220-4565 | 2019-12-10 |
| 1881241305 | Lauren Elizabeth Desroches | Physician Assistant | 7101 Jahnke Rd # 205, Richmond, VA 23225-4017 | 2019-08-20 |
| 1720633530 | Sabrina Chica | Physician Assistant | 7405 Montrose Ave, Richmond, VA 23227-1808 | 2019-08-08 |
| 1235790569 | Emma Katherine Cahoon | Physician Assistant | 20 Chelsea Farm Dr, Richmond, RI 02898-1221 | 2019-06-26 |
| 1699249615 | Kendra Ray Long | Physician Assistant | 9119 Stony Point Pkwy Apt 4203, Richmond, VA 23235-2076 | 2019-01-12 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1164954590 | Allyson Hudson Saunders | Physician Assistant | 7101 Jahnke Rd., Suite # 260, Richmond, VA 23225 | 2017-04-03 |
| Find all providers in RICHMOND | ||||
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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.