RYAN KELLAN MILLAR (NPI# 1073039848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073039848 |
Entity Type | Individual |
Full Name | RYAN KELLAN MILLAR |
Credential | PA-C |
Practice Address |
5838 Six Forks Rd Raleigh NC 27609-3885 |
Mailing Address |
1117 Twin Cedar Ln Wendell NC 27591-9688 |
Practice Telephone | 9197853400 |
Enumeration Date | 2017-08-14 |
Last Update Date | 2017-09-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-07510 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5838 SIX FORKS RD |
City | RALEIGH |
State | NC |
Zip Code | 27609-3885 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477523082 | Robert Lacin | Neurological Surgery | 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 | 2006-01-25 |
1063958015 | William Ashby | Physician Assistant | 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 | 2017-01-15 |
1548711534 | Ryan Graves | Specialist/Technologist | 5838 Six Forks Rd, Suite 300, Raleigh, NC 27609-3885 | 2016-10-14 |
1255721676 | Patricia Marie Nelson | Physician Assistant | 5838 Six Forks Rd, Suite #100, Raleigh, NC 27609-3885 | 2015-01-24 |
1508274689 | Noelle E. Ferree | Physical Therapist | 5838 Six Forks Rd, Suite 300, Raleigh, NC 27609-3885 | 2014-08-01 |
1003151820 | Charlotte Rowe Spangler | Physician Assistant | 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 | 2012-12-05 |
1366730533 | Amanda Kathleen Allen | Physical Therapist | 5838 Six Forks Rd, Raleigh, NC 27609-3885 | 2011-07-21 |
1659678647 | Tara Beth Luellen | Counselor | 5838 Six Forks Rd, Suite 200, Raleigh, NC 27609-3885 | 2011-02-28 |
1477862969 | Lars Benjamin Gardner | Neurological Surgery | 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 | 2010-09-30 |
1528373545 | Christy Michelle Hall | Nurse Practitioner | 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 | 2010-08-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
Find all providers in zip 27609 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407170079 | Stephanie Solosko | Physician Assistant | 8238 Primanti Blvd, Raleigh, NC 27612-7413 | 2010-03-25 |
1386817203 | Katherine Noland Sherron | Physician Assistant | 10941 Raven Ridge Rd Ste 103, Raleigh, NC 27614-6487 | 2008-04-11 |
1053430652 | Sharon Ann Mowrey | Physician Assistant | 3333 Clandon Park Dr, Raleigh, NC 27613-8841 | 2007-03-28 |
1306907043 | Roshni Patel Mapp | Physician Assistant | Duke Thoracic Surgery of Raleigh, 3404 Wake Forest Rd, Suite 201, Raleigh, NC 27609 | 2006-12-13 |
1437186152 | Rita Marie Langworth-brewer | Physician Assistant | 3737 Glenwood Ave, Raleigh, NC 27612-5515 | 2006-06-27 |
1033716634 | Sarah Petty Butler | Physician Assistant | 5838 Six Forks Rd Ste 100, Raleigh, NC 27609-3893 | 2020-10-06 |
1043829534 | Samantha Talbot Brown | Physician Assistant | 4509 Creedmoor Rd Ste 201, Raleigh, NC 27612-3813 | 2020-07-30 |
1093361859 | Kirsten Sinclair Renz | Physician Assistant | 3320 Wake Forest Rd Ste 450, Raleigh, NC 27609-7300 | 2019-08-16 |
1265087076 | Lauren Wells Queen | Physician Assistant | 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 | 2019-08-08 |
1730734211 | Shea Tryon Whittaker | Physician Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-08-02 |
Find all providers in RALEIGH |
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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.