Ryan Dale Lausted (NPI# 1609281617, PAC ID# 9931412012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1609281617 |
| PAC ID by PECOS | 9931412012 |
| Professional Enrollment ID | I20170628001911 |
| Full Name | Ryan Dale Lausted |
| Organization Legal Name | NORTH VALLEY EMERGENCY SPECIALISTS |
| Address |
5555 W Thunderbird Rd Glenadale AZ 85306-4622 |
| Phone Number | 6025885555 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4284537416 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030089 | BANNER THUNDERBIRD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 | 6025885555 | NORTH VALLEY EMERGENCY SPECIALISTS |
| Organization Legal Name | NORTH VALLEY EMERGENCY SPECIALISTS |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew S Burrows | Nurse Practitioner | North Valley Emergency Specialists | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Adrian S Long | Nurse Practitioner | North Valley Emergency Specialists | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Rickie M Griffith | Emergency Medicine | North Valley Emergency Specialists | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Valeria Pagnon | Emergency Medicine | North Valley Emergency Specialists | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Thomas M Wills | Emergency Medicine | North Valley Emergency Specialists | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Kristen Niedner | Emergency Medicine | North Valley Emergency Specialists | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Lindsey J Treat | Nurse Practitioner | North Valley Emergency Specialists | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Kim M Licciardi | Nurse Practitioner | North Valley Emergency Specialists | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Ashley Carter Powell | Emergency Medicine | North Valley Emergency Specialists | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Dane A Caputo | Emergency Medicine | North Valley Emergency Specialists | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Street Address |
5555 W THUNDERBIRD RD |
| City | GLENADALE |
| State | AZ |
| Zip | 85306-4622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srinivas Dannaram | Psychiatry | Banner Hospital Based Physicians Arizona LLC | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Matthew S Burrows | Nurse Practitioner | North Valley Emergency Specialists | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Ashwin C Parekh | Family Medicine | Banner Hospital Based Physicians Arizona LLC | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Elizabeth E Colman | Nurse Practitioner | Brian S. Page D.o. P.l.l.c. | 5555 W Thunderbird Rd, Banner Thunderbird Outpatient Center, Glendale, AZ 85306-4622 |
| Adrian S Long | Nurse Practitioner | North Valley Emergency Specialists | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Aneesh Sinha | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Anup V Sura | Family Medicine | Banner Hospital Based Physicians Arizona LLC | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Paul D Haas | Cardiac Electrophysiology | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 | |
| Susan L Bailey | Nurse Practitioner | Brian S. Page D.o. P.l.l.c. | 5555 W Thunderbird Rd, Banner Thunderbird Outpatient Center, Glendale, AZ 85306-4622 |
| Nadia Rizvi | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 5555 W Thunderbird Rd, Glenadale, AZ 85306-4622 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hassan Akinbiyi | Physical Medicine and Rehabilitation | Integrated Rehab Consultants LLC | 16825 N 63rd Ave, Glendale, AZ 85306-1001 |
| Thomas J Parks | Physical Medicine and Rehabilitation | Integrated Rehab Consultants LLC | 16825 N 63rd Ave, Glendale, AZ 85306-1001 |
| Veronica Linn | Nurse Practitioner | Asap Health Solutions Inc | 16825 N 63rd Ave, Glendale, AZ 85306-1001 |
| Jason B Smith | Physical Therapy | Ati Holdings of Arizona, LLC | 18561 59th Ave, Suite 117, Scottsdale, AZ 85306-1257 |
| Janice G Johnston | Family Medicine | Arrowhead Family Health Center PC | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306-1703 |
| Jaime L Maratta | Nurse Practitioner | Arrowhead Family Health Center PC | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306-1703 |
| Margaret E Younge | Nurse Practitioner | Arrowhead Family Health Center PC | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306-1703 |
| Julie Taylor Zafuto | Nurse Practitioner | Arrowhead Family Health Center PC | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306-1703 |
| Robert F West | Internal Medicine | Arrowhead Family Health Center PC | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306-1703 |
| Lisa M Knowlton | Nurse Practitioner | Arrowhead Family Health Center PC | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306-1703 |
| Find all physicians in zip 85306 | |||
| City | GLENADALE |
| Zip Code | 85306 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | GLENADALE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Ryan Dale Lausted.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.