RYAN CHRIS MOELLENKAMP (NPI# 1740673920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740673920 |
Entity Type | Individual |
Full Name | RYAN CHRIS MOELLENKAMP |
Credential | PA |
Practice Address |
90 Vermont Ave Ste 300 Oak Ridge TN 37830-6478 |
Practice Telephone | 8654812541 |
Practice Fax Number | 8654838151 |
Mailing Telephone | 8654812541 |
Mailing Fax Number | 8654838151 |
Enumeration Date | 2015-03-11 |
Last Update Date | 2019-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 2928 | TN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | 0010-05615 | NC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2928 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
90 VERMONT AVE STE 300 |
City | OAK RIDGE |
State | TN |
Zip Code | 37830-6478 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982167201 | Hannah Paige Miller | Nurse Practitioner | 90 Vermont Ave Ste 300, Oak Ridge, TN 37830-6478 | 2019-04-12 |
1417456203 | Raven Michelle Heatherly | Nurse Practitioner | 90 Vermont Ave Ste 300, Oak Ridge, TN 37830 | 2018-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
Find all providers in zip 37830 |
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 |
---|---|---|---|---|
1134769151 | Emily Lynn Widelock | Physician Assistant | 115 S Illinois Ave, Oak Ridge, TN 37830-6202 | 2020-01-07 |
1992218911 | Derek Ramsey | Physician Assistant | 800 Oak Ridge Tpke Ste A300, Oak Ridge, TN 37830-6946 | 2017-11-13 |
1699014746 | Dewanna Henderson | Physician Assistant | 305 S Benedict Ave, Oak Ridge, TN 37830-7310 | 2013-02-10 |
1134479645 | Angela B Ford | Physician Assistant | 7901 Mccreedy Dr, Oak Ridge, NC 27310-9695 | 2012-09-12 |
1598851602 | Angela Adkisson | Physician Assistant | 988 Oak Ridge Tpke Ste 140, Oak Ridge, TN 37830-6919 | 2006-10-05 |
1942286935 | David W Drum | Physician Assistant | 160a W Tennessee Ave, Oak Ridge, TN 37830-6501 | 2005-12-21 |
1174004568 | Kristen Marie Nelson | Physician Assistant | 1510 Nc Highway 68 N, Oak Ridge, NC 27310-9733 | 2018-08-24 |
1134627359 | Kaitlyn Elizabeth Warren | Physician Assistant | 801 Oak Ridge Tpke, Oak Ridge, TN 37830-6916 | 2018-01-23 |
1649639154 | Timothy Edward Vance | Physician Assistant | 988 Oak Ridge Tpke Ste 100, Oak Ridge, TN 37830-6919 | 2016-02-12 |
1336506153 | Christopher D. Alexander | Physician Assistant | 801 Oak Ridge Tpke, Oak Ridge, TN 37830-6916 | 2016-01-25 |
Find all providers in OAK RIDGE |
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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.