RYAN KNAKE (NPI# 1063805745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063805745 |
| Entity Type | Individual |
| Full Name | RYAN KNAKE |
| Credential | PA-C |
| Practice Address |
2721 Del Prado Blvd S Ste 230b Cape Coral FL 33904-5993 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 2394581196 |
| Practice Fax Number | 2394581345 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2017-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9108558 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7341 Gladiolus Dr, Fort Myers, FL 339085101 | 2394893420 |
| Street Address |
2721 DEL PRADO BLVD S STE 230B |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33904-5993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174915748 | Genesiscare Usa of Florida LLC | Urology | 2721 Del Prado Blvd S Ste 230b, Cape Coral, FL 33904-5993 | 2015-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356835698 | Wendy Reyes Perez | Behavioral Analyst | 326 Se 31st St, Cape Coral, FL 33904 | 2018-06-20 |
| 1669923488 | Tcm Quality Services, Inc | Case Management | 2804 Del Prado Blvd, # 209 Suite 3, Cape Coral, FL 33904 | 2016-10-17 |
| 1851766471 | Malissa Maki | Social Worker | 3723a Delprado Blvd, Cape Coral, FL 33904 | 2015-12-08 |
| 1942688767 | Physicians Services and Rehab Inc | Physical Medicine & Rehabilitation | 506 Se 47th Terr Suite B, Cape Coral, FL 33904 | 2015-05-13 |
| 1790184356 | Rx Imaging of Swfl, LLC | Family Medicine | 506 Se 47th St Suite A, Cape Coral, FL 33904 | 2014-08-20 |
| 1508205634 | Brandy Williams | Counselor | 3723 A Del Prado Blvd S, Cape Coral, FL 33904 | 2013-06-21 |
| 1295002608 | Jcs Home Health, Inc. | Home Health | 1505 Se 40th St., Ste. C, Cape Coral, FL 33904 | 2011-11-30 |
| 1477835551 | Thomas Dare | Occupational Therapist | 4129 Se 2nd Ave., Cape Coral, FL 33904 | 2011-09-14 |
| 1134422173 | Michelle L Mandich | Massage Therapist | 3636 Del Prado Blvd S., Cape Coral, FL 33904 | 2010-12-14 |
| 1770807059 | Professional Nurses Registry | Nursing Care | 875 Se 47th Terr., Suite 1, Cape Coral, FL 33904 | 2010-03-16 |
| Find all providers in zip 33904 | ||||
| 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 |
|---|---|---|---|---|
| 1225636905 | Physicians Primary Care of Southwest Florida, Pl | Physician Assistant | 1261 Viscaya Pkwy Ste 103, Cape Coral, FL 33990-3252 | 2020-10-14 |
| 1104384064 | Maureen Diaz | Physician Assistant | 1427 Nw 19th St, Cape Coral, FL 33993-4405 | 2019-03-08 |
| 1083951214 | Amy Michelle Jablonski | Physician Assistant | 1010 Dolphin Dr, Cape Coral, FL 33904-5924 | 2013-01-08 |
| 1881963106 | Bethany M Edouard | Physician Assistant | 1708 Cape Coral Pkwy W Ste I, Cape Coral, FL 33914-6985 | 2011-12-15 |
| 1336341551 | Matthew F Donnelly | Physician Assistant | 2804 Del Prado Blvd S Ste 109, Cape Coral, FL 33904-7283 | 2007-06-01 |
| 1043429202 | Kimberly Ann Burgess | Physician Assistant | 2656 Blue Cypress Lake Ct, Cape Coral, FL 33909-2912 | 2007-05-22 |
| 1033185699 | Jonathan Cleon Hendricks | Physician Assistant | 636 Del Prado Boulevard, Cape Coral, FL 33990-2695 | 2006-02-24 |
| 1104892975 | Sady M. Rego | Physician Assistant | 2366 Surfside Blvd # C-111, Cape Coral, FL 33991-3180 | 2006-02-23 |
| 1972574556 | Robert Louis Pineiro | Physician Assistant | 4017 Del Prado Blvd, Cape Coral, FL 33904-7160 | 2006-01-31 |
| 1982244398 | Alexandra Ciccone | Physician Assistant | 650 Del Prado Blvd, Cape Coral, FL 33990-5617 | 2020-01-14 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33904 |
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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.