RYAN LEWIS (NPI# 1194188383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194188383 |
| Entity Type | Individual |
| Full Name | RYAN LEWIS |
| Credential | PA-C |
| Practice Address |
1541 Riverboat Center Dr Joliet IL 60431-9341 |
| Practice Telephone | 8154094930 |
| Practice Fax Number | 8157413263 |
| Mailing Telephone | 8154094930 |
| Mailing Fax Number | 8157413263 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699034413 | Ryan Paul Lewis | Occupational Therapist | 1965 N Stoney Point Ct, Wichita, KS 67212-6498 | 2012-05-14 |
| 1659669448 | Ryan Charles Lewis | Dentist | 630 Comanche Trl Ste A, Frankfort, KY 40601-1754 | 2011-07-14 |
| 1447584636 | Ryan D. Lewis | Otolaryngology | 11506 S State St, Draper, UT 84020-9453 | 2009-09-22 |
| 1801963780 | Ryan Lee Lewis | Dentist | 11820 Ne Crestwood Drive, Suite 100, Vancouver, WA 98684 | 2006-11-29 |
| 1831122779 | Ryan K Lewis | Chiropractor | 604 Edwardsville Rd, Troy, IL 62294-1336 | 2006-07-07 |
| 1942290622 | Ryan L Lewis | Surgery | 1490 E Foremaster Dr Ste 200, Saint George, UT 84790-4496 | 2005-10-25 |
| 1174007025 | Ryan M Lewis | Nurse Practitioner | 13304 Leesville Church Rd, Raleigh, NC 27617-5206 | 2018-09-17 |
| 1366964827 | Ryan Kelton Lewis | Student in an Organized Health Care Education/Training Program | 600 North Wolfe Street, Phipps 160, Baltimore, MD 21287-0005 | 2017-07-16 |
| 1437548369 | Ryan Lewis | Nurse's Aide | 6701 Hwy 67, Benton, AR 72015 | 2015-01-15 |
| 1265839690 | Ryan Lewis | Nurse Practitioner | 202 State St, Ste A, Fort Scott, KS 66701-2031 | 2014-12-01 |
| Street Address |
1541 RIVERBOAT CENTER DR |
| City | JOLIET |
| State | IL |
| Zip Code | 60431-9341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942289129 | Ryan Manecke | Urology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-01-16 |
| 1710486063 | Carrie Defuss | Nurse Practitioner | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2018-02-01 |
| 1235403130 | Peter Tek | Family Medicine | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2012-02-24 |
| 1013248574 | Elizabeth Ann Bean | Physician Assistant | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2010-01-23 |
| 1831398445 | Constance A Marks | Specialist | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2007-07-13 |
| 1003032293 | Tasha Dawn Horsley | Nurse Practitioner | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2007-04-17 |
| 1588760144 | Vera Petras | Radiology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-09-14 |
| 1164531034 | Sandeep Sawhney | Urology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-08-30 |
| 1396758553 | Advanced Urology Associates Sc | Specialist | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-08-15 |
| 1669400933 | Luke S Cho | Urology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173413 | Margaret Ann Silvas | Nurse's Aide | 3627 Woodside Ct, Joliet, IL 60431 | 2017-09-22 |
| 1174900757 | Melissa Suzanne Spoula | Optometrist | 3340 Mall Loop Dr Spc 1442, Joliet, IL 60431 | 2015-05-02 |
| 1154678373 | Melissa J Murphy | Physical Therapist | 852 A Sharp Drive, Provena Therapy and Industrial Rehabilitation Center, Shorewood, IL 60431 | 2012-08-07 |
| 1053540096 | Sarah M Patnoudes | Occupational Therapist | 1035 Heron Circle, Joliet, IL 60431 | 2009-07-13 |
| 1558598649 | Regi Nair | Pharmacy Technician | 1901 Appleman, Joliet, IL 60431 | 2009-06-16 |
| 1346483948 | John A. Propati, Inc. | Clinic/Center | 1401 Illinois Rt. 59, Shorewood, IL 60431 | 2009-04-13 |
| 1467622910 | Cornerstone Home Healthcare LLC | Home Health | 350 Houbolt Rd., Suite 209, Joliet, IL 60431 | 2008-03-11 |
| 1780898098 | Annie Bishop | Home Health Aide | 3806 Brenton Dr, Joliet, IL 60431 | 2007-05-09 |
| 1760601272 | James John Babiuk | Dentist | 3209 Fiday Rd, Joliet, IL 60431 | 2007-04-24 |
| 1689731481 | Smile Street Dental | Dentist | 3587 Hennepin Dr, Joliet, IL 60431 | 2007-01-02 |
| Find all providers in zip 60431 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1275618639 | Chad Kovash | Physician Assistant | 1300 Copperfield Ave Ste 3070, Joliet, IL 60432-2065 | 2006-10-26 |
| 1831199587 | Dawn Carroll Roman | Physician Assistant | 1051 Essington Rd, Suite 280, Joliet, IL 60435-2801 | 2005-07-22 |
| 1649728874 | Emily Alvis | Physician Assistant | 823 N 129th Infantry Dr, Suite 103, Joliet, IL 60435-8346 | 2016-09-16 |
| 1891140554 | Eleanor Harward | Physician Assistant | 301 Madison St, Suite 280, Joliet, IL 60435-6549 | 2016-05-02 |
| 1134530090 | Mariedel Haramija | Physician Assistant | 333 Madison St, Joliet, IL 60435-8200 | 2014-05-14 |
| 1063467934 | Sheri Joyce Lask | Physician Assistant | 951 Essington Rd, Joliet, IL 60435-8427 | 2006-05-22 |
| 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 |
| 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 |
| 1407331184 | David Reyes | Physician Assistant | 2800 N Sheridan Rd Ste 209, Chicago, IL 60657-6157 | 2018-09-28 |
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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.