RYAN R WALLACE (NPI# 1285070326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285070326 |
| Entity Type | Individual |
| Full Name | RYAN R WALLACE |
| Credential | CFA |
| Practice Address |
7226 Crested Butte Dr Cheyenne WY 82009-3629 |
| Mailing Address |
7226 Crested Butte Cheyenne WY 82009-3629 |
| Practice Telephone | 9703911886 |
| Mailing Telephone | 9703911886 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2017-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477875458 | Ryan Christopher Wallace | Dentist | 420 E 3rd St Ste 1008, Los Angeles, CA 90013-1648 | 2010-02-18 |
| 1447859624 | Ryan J Wallace | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-20 |
| 1922663392 | Ryan Lee Wallace | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Baltimore, MD 21287-0010 | 2019-05-01 |
| 1760980577 | Ryan M Wallace | Counselor | 117 E 3rd St, Uhrichsville, OH 44683-1818 | 2018-01-26 |
| 1679021497 | Ryan James Wallace | Nurse Practitioner | 525 E Market St, Akron, OH 44304-1619 | 2016-09-21 |
| 1154795078 | Ryan Wallace | Physical Therapist | 5501 N Oracle Rd Ste 101, Tucson, AZ 85704-3850 | 2015-11-16 |
| 1548695075 | Ryan Myles Wallace | Psychiatry & Neurology | 55 Lock St, New Haven, CT 06511 | 2013-09-03 |
| 1316086291 | Ryan C Wallace | Emergency Medicine | 2401 W University Ave, Muncie, IN 47303-3428 | 2007-02-06 |
| 1568420354 | Ryan James Wallace | Physical Therapist | 25241 Elementary Way, Ste 200, Bonita Springs, FL 34135-7883 | 2006-05-02 |
| 1003891920 | Ryan Michael Wallace | Emergency Medical Technician, Basic | 5201 Lee Rd, Buzzards Bay, MA 02542-1313 | 2005-12-14 |
| Street Address |
7226 CRESTED BUTTE DR |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| Find all providers in zip 82009 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093772576 | Wendy J Watson | Physician Assistant | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206670 | Tim Joe Ficken | Physician Assistant | 2110 Sioux Trl, Bar Nunn, WY 82601-7611 | 2017-06-30 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1275175622 | Moriahn Bunney | Physician Assistant | 2901 Powder Basin Ave, Gillette, WY 82718-6406 | 2019-10-16 |
| 1508373630 | First Assist Associates, LLC | Physician Assistant | 2110 Sioux Trl, Bar Nunn, WY 82601-7611 | 2018-01-10 |
| 1356702559 | Anna Woollacott | Physician Assistant | 6600 E 2nd St, Casper, WY 82609-4348 | 2016-03-15 |
| 1760841696 | Brady Esplin | Physician Assistant | 901 Adams St, Afton, WY 83110-9621 | 2016-02-20 |
| 1265816466 | Tristyn Richendifer | Physician Assistant | 808 Riverbend Dr, Douglas, WY 82633-2054 | 2015-07-17 |
| 1093132706 | Karla Martinez Chapman | Physician Assistant | 204 Mccollum St, Ste 203, Laramie, WY 82070-5127 | 2014-03-20 |
| 1255768644 | Stephanie Marie Pierce | Physician Assistant | 6600 E 2nd St, Central Wyoming Neurosurgery, Casper, WY 82609 | 2013-10-01 |
| 1073756151 | Nikki Lynn Fedel | Physician Assistant | 6600 E 2nd St, Casper, WY 82609-4348 | 2009-04-20 |
| Find all providers with the same taxonomy | ||||
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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.