RYAN PATRICK MACDONALD


Address: 2318 Lineville Rd, Green Bay, WI 54313-8836
Phone: 9204343127

RYAN PATRICK MACDONALD (NPI# 1215282223) 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) 1215282223
Entity Type Individual
Full Name RYAN PATRICK MACDONALD
Credential PA
Practice Address 2318 Lineville Rd
Green Bay
WI 54313-8836
Mailing Address 744 S Webster Ave
Green Bay
WI 54301-3505
Practice Telephone 9204343127
Mailing Telephone 9204457226
Mailing Fax Number 9204457289
Enumeration Date 2012-07-16
Last Update Date 2018-06-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2957-023 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI NCCPA ID 1105838 01

Other Providers RYAN MACDONALD

NPI Name Taxonomy Address Enumeration
1518324904 Ryan Leigh Macdonald Physician Assistant 3640 Main St, Suite 302, Springfield, MA 01107-1145 2016-01-15
1255565933 Ryan James Macdonald Emergency Medicine 1400 E Boulder St, Colorado Springs, CO 80909-5533 2009-05-08

Office Location

Street Address 2318 LINEVILLE RD
City GREEN BAY
State WI
Zip Code 54313-8836

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942588900 Katie Lynn Collins Registered Nurse 2318 Lineville Rd, Green Bay, WI 54313-8836 2011-07-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548823420 Martha Lynn Drew Licensed Practical Nurse 3101 Molly Brown Lane, Green Day, WI 54313 2019-04-17
1831691872 Melanie Hammerbeck Dentist 1756 Cardinal Ln, Green Bay, WI 54313 2018-03-06
1649727108 Amanda Marie Mckeefry Dental Hygienist 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 2016-09-01
1326594813 Kaylee Schartner Dental Hygienist 2304 Lineville Road, Suite 100, Suamico, WI 54313 2016-08-25
1134500226 Salvanz Enterprises Inc Pharmacy 2673 Lineville Road, Green Bay, WI 54313 2015-06-15
1467849307 Maureen Riordan Specialist/Technologist 2957 S Telemark Cir., Green Bay, WI 54313 2015-04-17
1043556780 Kellen James Binder Chiropractor 2638 Tulip Lane, Suite B, Green Bay, WI 54313 2012-12-28
1407092737 Sara Ann Anderson Registered Nurse 2691 Shade Tree Ln, Green Bay, WI 54313 2008-12-16
1467601344 Melissa Lea Socha Speech-Language Pathologist 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 2008-09-16
1003070707 Anne Marie Hein Physical Therapist 3101 S Packerland Dr, Green Bay, WI 54313 2008-07-11
Find all providers in zip 54313

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700253101 Mathias Dahnert Physician Assistant 945 S Irwin Ave, Green Bay, WI 54301-3309 2015-09-01
1770992067 Sheila M Teddy Physician Assistant 2595 Development Dr Ste 150, Green Bay, WI 54311-4288 2014-08-12
1245652718 Bailey Bauer Physician Assistant 2753 Mayline Dr, Green Bay, WI 54311-9646 2014-01-17
1588949333 Carissa Ann Coorough Physician Assistant 720 S Van Buren St Ste 301, Green Bay, WI 54301-3534 2011-10-12
1093942047 Taresa B Fassbender Physician Assistant 3263 Eaton Rd Ste 1, Green Bay, WI 54311-6830 2009-06-17
1265628507 Colleen M Van Egeren Physician Assistant 715 Superior Rd, Suite 120, Green Bay, WI 54311-7594 2007-09-20
1427079516 Dermatology Clinic S.c. Physician Assistant 715 Superior Rd Ste 120, Green Bay, WI 54311-7595 2006-07-22
1316976814 Kevin F Nelson Physician Assistant 3237 Voyager Dr, Green Bay, WI 54311-8349 2006-06-30
1841233186 Randall R Southards Physician Assistant 2845 Greenbrier Rd Ste 320, Green Bay, WI 54311-6519 2006-06-14
1285684662 Elaine M Smith Physician Assistant 301 Bay Park Sq, Green Bay, WI 54304-5104 2006-05-10
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54313

Improve Information

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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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