RYAN CONNOR (NPI# 1225468481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225468481 |
| Entity Type | Individual |
| Full Name | RYAN CONNOR |
| Credential | PA-C |
| Practice Address |
576 Fort Loudoun Medical Center Dr Ste 100 Lenoir City TN 37772-5676 |
| Mailing Address |
Po Box 32569 Knoxville TN 37930-2569 |
| Practice Telephone | 8659888667 |
| Practice Fax Number | 8659888837 |
| Mailing Telephone | 8656940062 |
| Mailing Fax Number | 8659888667 |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2471 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2471 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2471 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q003651 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 576 Fort Loudoun Medical Center Dr, Suite 100, Lenoir City, TN 377725676 | 8659888667 | 8659888837 |
| 9430 Park West Blvd Ste 130, Knoxville, TN 379234205 | 8656904861 | 8655608525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851575211 | Ryan Connor | Counselor | 1305 Goucher St., Amity, OR 97101 | 2007-12-20 |
| 1205274693 | Ryan Mackenzie Connor | Family Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2013-06-07 |
| Street Address |
576 FORT LOUDOUN MEDICAL CENTER DR STE 100 |
| City | LENOIR CITY |
| State | TN |
| Zip Code | 37772-5676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689680118 | Jonathan C. Shaver | Orthopaedic Surgery | 576 Fort Loudoun Medical Center Dr Ste 100, Lenoir City, TN 37772-5676 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811458565 | Physician Associate Resources, Plc | Physician Assistant | 1559 Highland Park Drive, Lenoir City, TN 37772 | 2019-03-26 |
| 1447732235 | Back To Nu Low T Solutions, LLC | Nurse Practitioner | 2271 Highway 11 E Unit 1, Lenoir City, TN 37772 | 2018-08-29 |
| 1225519549 | Li Yin Chin Goode | Physical Therapist | 576 Ft Loudoun Med Ctr Dr Ste 100a, Lenoir City, TN 37772 | 2018-08-24 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1407293293 | Summit Medical Group, Pllc | Internal Medicine | 4160 Medical Park Dr., Suite 107, Lenoir City, TN 37772 | 2013-06-03 |
| 1417080896 | Wendy L Taylor | Nurse Practitioner | 125 East Town Creek Rd., Suite 2b, Lenoir City, TN 37772 | 2007-03-14 |
| 1639213796 | Generations Obgyn,p.c. | Specialist | 576 Ft. Loudoun Profesional Bldg, Suite 207, Lenoir City, TN 37772 | 2007-02-20 |
| 1366584104 | Mary Louise Mortimer | Internal Medicine | 2771 Hwy 11 East, Suite 5, Lenoir City, TN 37772 | 2007-02-12 |
| 1366501892 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 802 Hall St, Ste 4, Lenoir City, TN 37772 | 2006-12-08 |
| 1093890733 | Howard Gene Holmes | Internal Medicine | 460 Medical Park Dr., Suite 102, Lenoir City, TN 37772 | 2006-10-25 |
| Find all providers in zip 37772 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733318 | Rachel N. Hudson | Physician Assistant | 460 Medical Park Dr Ste 107, Lenoir City, TN 37772-5782 | 2020-02-25 |
| 1205468543 | Jamie Rup | Physician Assistant | 297 Creekwood Cove Ln Apt 7b, Lenoir City, TN 37772-6392 | 2020-02-05 |
| 1477013381 | Charles Hill Powell IIi | Physician Assistant | 5779 Creekwood Park Blvd, Lenoir City, TN 37772-1203 | 2019-03-25 |
| 1265976765 | Dillon Tyler Gibson | Physician Assistant | 423 Medical Park Dr Ste 100, Lenoir City, TN 37772-5641 | 2016-12-19 |
| 1770031239 | Kristi Baker Stewart | Physician Assistant | 423 Medical Park Dr Ste 100, Lenoir City, TN 37772 | 2016-09-13 |
| 1053669374 | Kristin C Gregory | Physician Assistant | 5505 Creekwood Park Blvd, Lenoir City, TN 37772-1201 | 2012-08-16 |
| 1033496575 | Tonya Warwick | Physician Assistant | 780 Highway 321 N, Lenoir City, TN 37771-6589 | 2011-11-11 |
| 1275832719 | Laura C Valentine | Physician Assistant | 550 Fort Loudoun Medical Center Dr, Lenoir City, TN 37772-5673 | 2011-03-23 |
| 1467472084 | Gregory Todd Stevens | Physician Assistant | 550 Fort Loudoun Medical Center Dr, Lenoir City, TN 37772-5673 | 2006-07-19 |
| 1306882345 | Matthew T Lavelle | Physician Assistant | 423 Medical Park Dr, Suite 100, Lenoir City, TN 37772-5640 | 2006-06-20 |
| Find all providers in LENOIR CITY | ||||
| City | LENOIR CITY |
| Zip Code | 37772 |
Please comment or provide details below to improve the information on RYAN CONNOR.
| 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.