MR. RYAN JOSEPH HOUSNER (NPI# 1205942539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205942539 |
| Entity Type | Individual |
| Full Name | MR. RYAN JOSEPH HOUSNER |
| Credential | PA-C |
| Practice Address |
890 Garfield Ave Suite 101 Libertyville IL 60048-4723 |
| Mailing Address |
9500 Bormet Dr Ste 204 Mokena IL 60448-8399 |
| Practice Telephone | 8479905636 |
| Practice Fax Number | 8476761549 |
| Mailing Telephone | 7083464044 |
| Mailing Fax Number | 7083463287 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2680-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10000873A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085002765 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1205942539 | 05 |
| Street Address |
890 GARFIELD AVE SUITE 101 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-4723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720080054 | Philip N Adjei | Internal Medicine | 890 Garfield Ave, Ste 103, Libertyville, IL 60048-3100 | 2005-05-31 |
| 1184924961 | Ruth Mcgaha | Clinical Nurse Specialist | 890 Garfield Ave, Suite 209, Libertyville, IL 60048-4723 | 2010-10-27 |
| 1689824930 | Rachel E Patel | Physician Assistant | 890 Garfield Ave, Suite 200, Libertyville, IL 60069 | 2008-09-23 |
| 1659597730 | Illinois Internal Medicine Ltd | Internal Medicine | 890 Garfield Ave, Suite 209, Libertyville, IL 60048-4723 | 2007-04-17 |
| 1225169774 | Burton Miller, M.d., S.c. | Surgery | 890 Garfield Ave, 206, Libertyville, IL 60048-4723 | 2007-03-08 |
| 1578612677 | Libertyville Obgyn S.c. | Obstetrics & Gynecology | 890 Garfield Ave, 104, Libertyville, IL 60048-4723 | 2007-01-09 |
| 1831250794 | Burton Miller | Surgery | 890 Garfield Ave, 206, Libertyville, IL 60048-4723 | 2006-12-13 |
| 1053483909 | Gastroenterology Consultants of Libertyville Ltd | Internal Medicine | 890 Garfield Ave, Suite 103, Libertyville, IL 60048-3100 | 2006-11-15 |
| 1609948124 | Richard M Allen | Specialist | 890 Garfield Ave, 200, Libertyville, IL 60048-4723 | 2006-11-14 |
| 1225122419 | The Libertyville Surgeons, S C | Specialist | 890 Garfield Ave, Suite 203, Libertyville, IL 60048-4723 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376971440 | Alexandra Vigilante | Physician Assistant | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2013-10-28 |
| 1578774220 | James Albert Baker | Physician Assistant | 712 S Milwaukee Ave, Libertyville, IL 60048-3279 | 2007-05-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on MR. RYAN JOSEPH HOUSNER.
| 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.