RENEE G RYAN (NPI# 1528057932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528057932 |
| Entity Type | Individual |
| Full Name | RENEE G RYAN |
| Credential | PA C |
| Practice Address |
515 Hospital Dr Suite 1 Shelbyville KY 40065-1619 |
| Practice Telephone | 5026333525 |
| Practice Fax Number | 5026333825 |
| Mailing Telephone | 5026333525 |
| Mailing Fax Number | 5026333825 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA091 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000189841 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629545686 | Renee Ryan | Assistant Behavior Analyst | 5601 Arnold Rd Fl 102, Dublin, CA 94568-7726 | 2018-10-29 |
| 1386811545 | Renee Anne Ryan | Emergency Medicine | 4103 Medical Center Dr, Fayetteville, NY 13066-6600 | 2008-05-15 |
| Street Address |
515 HOSPITAL DR SUITE 1 |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648788 | James R Smith | Family Medicine | 515 Hospital Dr, Ste 1, Shelbyville, KY 40065-1619 | 2005-09-01 |
| 1487911673 | First Urology, Psc | Nurse Practitioner | 515 Hospital Dr, Suite 3, Shelbyville, KY 40065-1619 | 2012-04-12 |
| 1366693905 | Laura Elizabeth Davis | Physician Assistant | 515 Hospital Dr, Suite # 1, Shelbyville, KY 40065-1619 | 2008-10-01 |
| 1780863167 | Amy Michelle Morehead | Nurse Practitioner | 515 Hospital Dr, Suite 1, Shelbyville, KY 40065-1640 | 2007-11-01 |
| 1508855123 | Edward L Sames | Internal Medicine | 515 Hospital Dr, Suite 1, Shelbyville, KY 40065-1640 | 2005-10-17 |
| 1053300681 | Family Physician Associates Psc | Family Medicine | 515 Hospital Dr, Suite 1, Shelbyville, KY 40065-1619 | 2005-10-17 |
| 1548259328 | Jenniffer A Goodlett | Physical Therapist | 515 Hospital Dr, Suite 1, Shelbyville, KY 40065-1619 | 2005-10-14 |
| 1376532168 | David W Wallace | Family Medicine | 515 Hospital Dr, Suite 1, Shelbyville, KY 40065-1640 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| 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 |
|---|---|---|---|---|
| 1508417205 | Jordan Mastalerz | Physician Assistant | 120 Frank Martin Rd Ste 101, Shelbyville, TN 37160-7195 | 2019-09-24 |
| 1548737331 | Alexandra Rose Mudd | Physician Assistant | 101 Stonecrest Rd Ste 2, Shelbyville, KY 40065-8169 | 2018-10-30 |
| 1558663534 | Laura Martin | Physician Assistant | 130 Stonecrest Rd Ste 106, Shelbyville, KY 40065-8126 | 2010-11-24 |
| 1396933271 | Catherine Elizabeth Yutmeyer | Physician Assistant | 249 N Morgan St, Shelbyville, IL 62565-1672 | 2007-10-04 |
| 1245219666 | Scott Jason Jones | Physician Assistant | 1114 N Main St Ste B, Shelbyville, TN 37160-2380 | 2006-01-13 |
| 1790267524 | Kristin Marie Hayden | Physician Assistant | 207 S Pine St, Shelbyville, IL 62565-1749 | 2018-08-29 |
| 1376020388 | Francis Leonard | Physician Assistant | 615 Washington St, Shelbyville, KY 40065-1131 | 2018-07-23 |
| 1134613425 | Danielle Elizabeth O'dell | Physician Assistant | 71 Mack Walters Rd, Shelbyville, KY 40065 | 2018-06-19 |
| 1407372568 | Kristen Vance | Physician Assistant | 1 Calsonic Way, Shelbyville, TN 37160-2031 | 2017-08-20 |
| 1144741687 | Molly Kathleen Cremons | Physician Assistant | 2451 Intelliplex Dr, Shelbyville, IN 46176-8580 | 2017-07-06 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
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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.