JOHN PHILIP BRYAN (NPI# 1083614127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083614127 |
| Entity Type | Individual |
| Full Name | JOHN PHILIP BRYAN |
| Credential | PA-C |
| Practice Address |
225 Crosslake Dr Evansville IN 47715-8198 |
| Mailing Address |
323s 18th Ave Sturgeon Bay WI 54235-1401 |
| Practice Telephone | 8124771558 |
| Practice Fax Number | 8124884669 |
| Mailing Telephone | 9207435566 |
| Mailing Fax Number | 9207463515 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2015-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5601002612 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
99039830A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PRIORITY HEALTH | 19788 | 01 |
| MI | COMMUNITY CHOICE BILLING | 383450619 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790704021 | John Sterling Bryan | Dentist | 510 6th St, Taft, CA 93268-2320 | 2006-07-18 |
| 1982650255 | John F Bryan Jr. | Chiropractor | 331 S Fourth St, Hartsville, SC 29550-4307 | 2006-05-26 |
| 1184622771 | John Lewis Bryan II | Social Worker | 2550 Fayetteville Rd, Long Leaf Professional Counseling Pllc, Lumberton, NC 28358-3114 | 2005-07-08 |
| 1023591427 | John Michael Bryan | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2018-09-11 |
| 1467736181 | John Andrew Bryan | Physical Therapist | 50 E Hickman Rd, Waukee, IA 50263-5011 | 2011-09-29 |
| 1932253440 | John B Bryan II | Marriage & Family Therapist | 31681 Riverside Dr, Suite L, Lake Elsinore, CA 92530-7815 | 2007-01-22 |
| 1497814891 | John R Bryan | Physician Assistant | Us Hwy 491 North, Shiprock, NM 87420 | 2006-12-08 |
| 1346292208 | John A Bryan | Pathology | 1 Elliot Way, Manchester, NH 03103-3599 | 2006-05-17 |
| 1528016607 | John A. Bryan | Pathology | 550 Peachtree St Ne, Rm. 1319a, Davis Fischer Building, Atlanta, GA 30308-2209 | 2006-05-04 |
| 1467416552 | John Hugh Bryan | Radiology | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2006-04-14 |
| Street Address |
225 CROSSLAKE DR |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-8198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822279 | Jacob M O'neill | Orthopaedic Surgery | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2005-06-23 |
| 1952918419 | Mallory Leeann Baker | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-09-29 |
| 1558975045 | Kurtis D Anthony | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-09-02 |
| 1487270104 | Madison Jo Mundy | Occupational Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-06-18 |
| 1336774900 | Brandi L Fields | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-03-04 |
| 1982257507 | Shelby Clark | Physician Assistant | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-07-23 |
| 1043872013 | Jonathan Bernard Kirsch | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-07-01 |
| 1346800398 | Justin David Isiah King | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-06-20 |
| 1831656313 | Tri-state Orthopaedic Surgeons, Inc | Occupational Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-02-21 |
| 1093295768 | Rebecca L Thomas | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952803538 | Christy L. Herrmann | Physician Assistant | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2018-02-28 |
| 1649793522 | Kyle William Kraft | Physician Assistant | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2017-07-21 |
| 1881087989 | Christina Stevens | Physician Assistant | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2015-03-13 |
| 1609288703 | Erin Haaff | Physician Assistant | 515 Read St, Evansville, IN 47710-1739 | 2014-05-22 |
| 1881020238 | Shannon E Smith | Physician Assistant | 520 Mary St, 520, Evansville, IN 47710-1682 | 2013-09-17 |
| 1205061280 | Kathy R Marquis | Physician Assistant | 415 W Columbia St, Evansville, IN 47710-1656 | 2009-05-20 |
| 1568550804 | Kyle A Lutz | Physician Assistant | 520 Mary St, Suite 520, Evansville, IN 47710 | 2006-10-11 |
| 1215932330 | Linda Y Mitchell | Physician Assistant | 515 Read St, Evansville, IN 47710-1739 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289957 | Jordan Nickley Nemer | Physician Assistant | 270 E Day Rd Ste 200, Mishawaka, IN 46545-3444 | 2019-11-07 |
| 1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
| 1710459839 | Alyssa Tripp | Physician Assistant | 1007 Lincolnway Rm 1107, La Porte, IN 46350-3201 | 2018-12-31 |
| 1992283899 | Kelsey Arnold | Physician Assistant | 275 W Bassett Rd Ste 2, Shelbyville, IN 46176-8575 | 2018-08-02 |
| 1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
| 1477924892 | Kristen Marie Ness | Physician Assistant | 13100 E 136th St Ste 2000, Fishers, IN 46037-9440 | 2015-10-12 |
| 1982945960 | Heather Bunnell | Physician Assistant | 3943 Hay Market Dr, Jeffersonville, IN 47130-8260 | 2013-03-15 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1427364926 | Rebecca Lou Autry | Physician Assistant | 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629 | 2010-08-23 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
Please comment or provide details below to improve the information on JOHN PHILIP BRYAN.
| 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.