RYAN MIGUEL COLON


Address: 420 N Il Route 31, Crystal Lake, IL 60012
Phone: 8153565200

RYAN MIGUEL COLON (NPI# 1134648389) 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) 1134648389
Entity Type Individual
Full Name RYAN MIGUEL COLON
Credential PA-C
Practice Address 420 N Il Route 31
Crystal Lake
IL 60012
Mailing Address 420 N Il Route 31
Crystal Lake
IL 60012-3709
Practice Telephone 8153565200
Practice Fax Number 8153565262
Mailing Telephone 8153565200
Mailing Fax Number 8153565262
Enumeration Date 2017-09-19
Last Update Date 2018-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 085006413 IL Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL NCCPA 1145764 01
IL STATE LICENSE 085006413 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
10370 Haligus Rd Ste 201, Huntley, IL 601429582 8153565200 8153565262

Office Location

Street Address 420 N IL ROUTE 31
City CRYSTAL LAKE
State IL
Zip Code 60012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467485128 Gordon D Husby Physical Therapist 420 N Il Route 31, Crystal Lake, IL 60012-3711 2006-07-08
1497295125 Alexander J Hembrey Physician Assistant 420 N Il Route 31, Crystal Lake, IL 60012 2017-02-28
1316486459 Nicole M Trittschuh Physician Assistant 420 N Il Route 31, Crystal Lake, IL 60012 2017-02-22
1356883599 Centegra Primary Care LLC Family Medicine 420 N Il Route 31, Crystal Lake, IL 60012-3709 2016-11-04
1770954125 Lisa Zemaitis Physical Therapy Assistant 420 N Il Route 31, Crystal Lake, IL 60012-3709 2015-10-12
1336552199 Nicole Ashley Fox Physical Therapist 420 N Il Route 31, Crystal Lake, IL 60012-3711 2014-06-09
1497168355 Heather Michelle Murnane Occupational Therapist 420 N Il Route 31, Crystal Lake, IL 60012-3711 2014-06-09
1528487436 Michael Christopher Ciccotti Orthopaedic Surgery 420 N Il Route 31, Crystal Lake, IL 60012-3709 2014-04-08
1326483280 Mark Andrew Rotert Nurse Practitioner 420 N Il Route 31, Crystal Lake, IL 60012 2013-05-06
1548519986 Stephanie H Goede Physician Assistant 420 N Il Route 31, Crystal Lake, IL 60012 2012-08-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033574629 Joan M Ryan Counselor 610 N Route 31, Suite E, Crystal Lake, IL 60012 2015-12-23
1285972331 Lauren Elyse Westerman Physical Therapist 1000 Brighton Ln, Crystal Lake, IL 60012 2013-01-24
1447537469 Sean Gale Pharmacist 135 Carmella Dr, Crystal Lake, IL 60012 2011-11-04
1477836625 Judy Meekyung Fakhouri Pharmacist 315 N. Route 31, Crystal Lake, IL 60012 2011-09-23
1730462136 Leslie Dawn Weckerlin Pharmacist 315 N Route 31, Crystal Lake, IL 60012 2011-09-21
1639452188 Laura Jean Galles Pharmacist 315 N. Routet 31, Crystal Lake, IL 60012 2011-09-21
1326320516 Stacey Jean Knuth Pharmacist 315 North Route 31, Crystal Lake, IL 60012 2011-09-13
1356469803 Donn Orien Humphries Chiropractor 690 N Route 31, Suite F, Crystal Lake, IL 60012 2007-03-26
1538204508 Midwest Physical Therapy Ctr Clinic/Center 630 N Rt 31, Suite 103, Crystal Lake, IL 60012 2007-02-20
1356488415 Charlotte Joy Parcels Social Worker 8600 Route 14, Suite 110, Crystal Lake, IL 60012 2007-01-30
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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
1639651060 Scott M. Detloff Physician Assistant 415 E Congress Pkwy Ste A, Crystal Lake, IL 60014-6248 2018-09-01
1497295125 Alexander J Hembrey Physician Assistant 420 N Il Route 31, Crystal Lake, IL 60012 2017-02-28
1316486459 Nicole M Trittschuh Physician Assistant 420 N Il Route 31, Crystal Lake, IL 60012 2017-02-22
1942747480 Christopher L Ballinger Physician Assistant 420 N. Il Route 31, Crystal Lake, IL 60012 2017-01-23
1548519986 Stephanie H Goede Physician Assistant 420 N Il Route 31, Crystal Lake, IL 60012 2012-08-30
1902092109 Jeremy A Houtakker Physician Assistant 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 2007-09-20

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 CRYSTAL LAKE
Zip Code 60012

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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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