RYAN W ANDERSON (NPI# 1407847833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407847833 |
| Entity Type | Individual |
| Full Name | RYAN W ANDERSON |
| Credential | PA-C |
| Practice Address |
3701 Maccorkle Ave Se Charleston WV 25304-1525 |
| Mailing Address |
401 6th Ave Montgomery WV 25136-2116 |
| Practice Telephone | 3044425151 |
| Practice Fax Number | 3044427494 |
| Mailing Telephone | 3044425151 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2016-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01148 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | STATE LICENSE NUMBER | 01148 | 01 |
| WV | WV BD. OSTEO LICENSE | 374 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1194130849 | Ryan John Anderson | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr # Md8425, San Diego, CA 92103-1911 | 2014-06-20 |
| 1235542283 | Ryan Everett Anderson | Internal Medicine | 1133 21st St Nw Fl 6, Washington, DC 20036-3390 | 2014-06-07 |
| 1295175024 | Ryan Roger Anderson | Chiropractor | 653 Camino De Los Mares Ste 100, San Clemente, CA 92673-2808 | 2013-06-25 |
| 1972812303 | Ryan Lee Anderson | Hearing Instrument Specialist | 2901a E Main St, Richmond, IN 47374-3545 | 2010-10-04 |
| 1548403694 | Ryan John Anderson | Marriage & Family Therapist | 363 E 1200 S # 201, Orem, UT 84058-6904 | 2009-04-18 |
| 1942349329 | Ryan Christopher Anderson | Dentist | 1927 Thomson Dr, Lynchburg, VA 24501-1008 | 2007-02-05 |
| 1053334730 | Ryan K Anderson | Podiatrist | 596 W 750 S, Suite 200, Bountiful, UT 84010-7268 | 2006-07-25 |
| 1891752812 | Ryan B Anderson | Ophthalmology | 2030 S Solano Dr, Las Cruces, NM 88001-5402 | 2006-04-26 |
| Street Address |
3701 MACCORKLE AVE SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646019 | Lindsey Ciera Davis | Nurse Practitioner | 3701 Maccorkle Ave Se, Charleston, WV 25304-1525 | 2019-08-30 |
| 1689235798 | Melissa Sue Rainey | Nurse Practitioner | 3701 Maccorkle Ave Se, Charleston, WV 25304-1525 | 2019-06-28 |
| 1487192159 | Jade Smith | Nurse Practitioner | 3701 Maccorkle Ave Se, Charleston, WV 25304-1525 | 2017-02-02 |
| 1770967820 | Sarah Stalnaker | Nurse Practitioner | 3701 Maccorkle Ave Se, Charleston Internal Medicine, Charleston, WV 25304-1525 | 2015-07-17 |
| 1215311444 | Charleston Internal Medicine, Inc | Nurse Practitioner | 3701 Maccorkle Ave Se, Charleston, WV 25304-1525 | 2015-07-17 |
| 1700286002 | Samantha J Hayes | Nurse Practitioner | 3701 Maccorkle Ave Se, Charleston, WV 25304-1525 | 2014-08-25 |
| 1649530189 | Witt Adam Durden | Internal Medicine | 3701 Maccorkle Ave Se, Charleston, WV 25304-1525 | 2012-05-17 |
| 1023325362 | Peter G Teichman | Family Medicine | 3701 Maccorkle Ave Se, Charleston, WV 25304-1525 | 2010-09-08 |
| 1154642981 | Cynthia Elizabeth Collins Stump | Internal Medicine | 3701 Maccorkle Ave Se, Charleston, WV 25304-1525 | 2010-06-16 |
| 1679709554 | Tracie F Bonner | Nurse Practitioner | 3701 Maccorkle Ave Se, Charleston, WV 25304-1525 | 2009-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1063797447 | Michael B Carothers | Physician Assistant | 2030 Wambaw Crk, Charleston, SC 29492-8382 | 2011-10-17 |
| 1316228679 | Joanna Harvey | Physician Assistant | 2085 H Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 | 2011-08-31 |
| 1689825895 | Jeffrey Russell Pike | Physician Assistant | 2097 Henry Tecklenburg Dr Ste 305w, Charleston, SC 29414-5744 | 2008-10-07 |
| 1073662664 | Kenneth Neil Dippel | Physician Assistant | 3200 Maccorkle Ave. Se, Camc Memorial Hospital, Charleston, WV 25304 | 2007-01-10 |
| 1790873099 | Steven L Russell | Physician Assistant | 191 Rutledge Ave, Charleston, SC 29403-5822 | 2006-10-11 |
| 1376649723 | Irene Belinda Coley | Physician Assistant | Ralph H. Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401 | 2006-09-15 |
| 1578597480 | David Laurence Gross | Physician Assistant | 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 | 2006-07-10 |
| 1851331714 | Caroline M Bailey | Physician Assistant | 1 Bishop Gadsden Way, Suite 97, Charleston, SC 29412-3506 | 2006-06-08 |
| 1952357899 | Constantina Helen Panos | Physician Assistant | 129 Queen St, Charleston, SC 29401-2424 | 2006-05-25 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
Please comment or provide details below to improve the information on RYAN W ANDERSON.
| 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.