RYLAN MIYAT


Address: 1604 Visa Dr, Ste. 2, Normal, IL 61761-2195
Phone: 3098464716

RYLAN MIYAT (NPI# 1053744334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053744334
Entity Type Individual
Full Name RYLAN MIYAT
Credential CST
Practice Address 1604 Visa Dr
Ste. 2
Normal
IL 61761-2195
Mailing Address 7324 Southwest Fwy Ste 1550
Houston
TX 77074-2053
Practice Telephone 3098464716
Practice Fax Number 3094547348
Mailing Telephone 1377799800
Enumeration Date 2013-08-09
Last Update Date 2018-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
238.000499 IL Physician Assistants & Advanced Practice Nursing Providers
N 246ZS0410X Specialist/Technologist, Other
Specialization: Surgical Technologist
237000129 IL Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 1604 VISA DR
STE. 2
City NORMAL
State IL
Zip Code 61761-2195

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659490761 Definitive Neurodiagnostics LLC Specialist/Technologist, Other 1604 Visa Dr, Suite 1, Normal, IL 61761-2195 2007-03-28
1487209664 Sam Daliri Dentist 1604 Visa Dr, Normal, IL 61761-2195 2019-08-05
1346783982 Everyone's Family Dental Normal LLC Dentist 1604 Visa Dr, Ste 3, Normal, IL 61761-2195 2016-11-30
1134678790 Michael Hansen Specialist/Technologist, Other 1604 Visa Dr, Ste 1, Normal, IL 61761 2016-09-23
1295281228 Brenna Catherine Maxine Knott Specialist/Technologist, Other 1604 Visa Dr, Normal, IL 61761-2195 2016-08-30
1750766499 Dhaval Patel Dentist 1604 Visa Dr, Normal, IL 61761-2195 2015-07-23
1467830869 Deborah Berryman Specialist/Technologist, Other 1604 Visa Dr, Suite 1, Normal, IL 61761-2195 2015-05-18
1184002578 Susan Ribordy Specialist/Technologist, Other 1604 Visa Dr, Suite 1, Normal, IL 61761-2195 2015-05-18
1447667027 Phyllis Wilkinson Licensed Practical Nurse 1604 Visa Dr, Ste 2, Normal, IL 61761 2014-07-16
1629484324 Brian Choi Dentist 1604 Visa Dr, Unit #3, Normal, IL 61761-2195 2014-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629681796 Brittany Nicole Mekley Nurse Practitioner 201 N. University, Normal, IL 61761 2020-08-28
1679108971 Krystal Halliday Occupational Therapist 1815 N Towanda Barnes Rd, Normal, IL 61761 2020-03-06
1265915474 Laine E Burek Nurse Practitioner 1765 Bradford Ln., Normal, IL 61761 2018-09-13
1801389986 Ashley Michelle James Specialist/Technologist 347 S. University St, Normal, IL 61761 2018-06-12
1447750708 Shelley R. Ruch Specialist/Technologist, Other 1604 Visa Drive, Ste 1, Normal, IL 61761 2018-02-13
1497275069 Mclean County Nursing Home Non-emergency Medical Transport (VAN) 901 N. Main St, Normal, IL 61761 2017-06-23
1235673666 Megan Threm Registered Nurse 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 2016-12-04
1437513553 Tiesha Smith Specialist 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 2016-04-06
1285031658 New Day Recovery Community/Behavioral Health 402 Summit, Normal, IL 61761 2014-12-01
1174927701 Alyssa Marie Bruck Occupational Therapist 700 N Walnut St, Normal, IL 61761 2014-10-10
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386017853 Jessica Hendrix Physician Assistant 1302 Franklin Ave Ste 2500, Normal, IL 61761 2015-11-05
1194150466 Jodi Rappa Physician Assistant 1604 Visa Dr, Ste. 2, Normal, IL 61761-2195 2013-09-05
1285871764 Emily Wolf Physician Assistant 1604 Visa Dr Ste 1, Normal, IL 61761-2195 2009-01-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477169522 Priority Assist Pllc Physician Assistant 48 Glenda Ln, Plano, IL 60545-9652 2020-09-23
1154944478 Diana Goldak Physician Assistant 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 2020-05-20
1033742580 Colleen Courtney Physician Assistant 218 S Driftwood Trl, Mchenry, IL 60050-5454 2020-02-12
1326678962 Nina Kodros Physician Assistant 301 Madison St Ste 280, Joliet, IL 60435-6672 2020-01-23
1689218190 Jennifer Richman Physician Assistant 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 2019-10-29
1710547625 Nadia Khan Physician Assistant 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 2019-06-13
1962065516 Jorge Mantilla Physician Assistant 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 2019-04-18
1013479955 Leah Rae Prager Physician Assistant 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 2019-04-01
1770041949 Laura Ann Ryan Physician Assistant 840 S Wood St Ste 417, Chicago, IL 60612-4325 2019-03-06
1548739782 Helen Finke Physician Assistant 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 2018-11-16
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Competitor

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City NORMAL
Zip Code 61761

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Dataset Information

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.

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