RYAN KELLAN MILLAR


Address: 5838 Six Forks Rd, Raleigh, NC 27609-3885
Phone: 9197853400

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 5838 SIX FORKS RD
City RALEIGH
State NC
Zip Code 27609-3885

Providers in the same location

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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Providers in the same zip code

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
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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
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

Competitor

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City RALEIGH
Zip Code 27609

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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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