RYAN MICHAEL LYSNE (NPI# 1528526993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528526993 |
| Entity Type | Individual |
| Full Name | RYAN MICHAEL LYSNE |
| Credential | PA |
| Practice Address |
5921 N Market St Spokane WA 99208-2484 |
| Mailing Address |
611 N Iron Bridge Way Spokane WA 99202-4932 |
| Practice Telephone | 5094448888 |
| Mailing Telephone | 5094448888 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60964856 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | TA60987863 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 W 8th Ave, Spokane, WA 992042307 | 5094743131 | |
| 4320 S Williamson Ln, Spokane, WA 992231207 | 5094993253 | |
| 817 S Perry St Unit B, Spokane, WA 99202 | 5094448200 |
| Street Address |
5921 N MARKET ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-2484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325460 | Theresa Wiederhold | Nurse Practitioner | 5921 N Market St, Spokane, WA 99208-2484 | 2005-09-01 |
| 1316581465 | Community Health Association of Spokane | Pharmacy | 5921 N Market St, Spokane, WA 99208-2484 | 2019-11-01 |
| 1518475961 | Jennifer Patricia Loweree | Dietitian, Registered | 5921 N Market St, Spokane, WA 99208-2484 | 2018-01-19 |
| 1316478183 | Lich Pham | Family Medicine | 5921 N Market St, Spokane, WA 99208-2484 | 2017-03-23 |
| 1245773571 | Caitlin Miller | Physician Assistant | 5921 N Market St, Spokane, WA 99208 | 2016-11-17 |
| 1114476439 | Tamara Ganahl | Nurse Practitioner | 5921 N Market St, Spokane, WA 99208-2484 | 2016-09-28 |
| 1003218389 | Jeffrey Hayward | Physician Assistant | 5921 N Market St, Spokane, WA 99208-2484 | 2014-09-18 |
| 1942620307 | Joshua Raymond Kistner | Family Medicine | 5921 N Market St, Spokane, WA 99208 | 2014-04-23 |
| 1477828556 | Brian Mizoguchi | Counselor | 5921 N Market St, Spokane, WA 99208-2484 | 2012-03-21 |
| 1477856144 | Community Health Association of Spokane | Pharmacy | 5921 N Market St, Spokane, WA 99208-2484 | 2010-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| 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 |
|---|---|---|---|---|
| 1033720495 | Riley Richardson | Physician Assistant | 1008 E Windemere Ct, Spokane, WA 99223-6228 | 2020-08-11 |
| 1295189066 | Thomas D Eskelsen | Physician Assistant | 910 W 5th Ave Ste 801, Spokane, WA 99204-2974 | 2016-04-19 |
| 1063818789 | Jeffrey Jason Hershey | Physician Assistant | 6022 N Vista Ridge Ln, Spokane, WA 99217-5503 | 2014-11-06 |
| 1114345022 | Lindsay Urso | Physician Assistant | 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 | 2014-03-29 |
| 1891116216 | Heather Stout | Physician Assistant | 605 E Holland Ave Ste 101, Spokane, WA 99218-1246 | 2014-01-02 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1700218534 | Terry Anne Noyes | Physician Assistant | 528 E Spokane Falls Blvd Ste 502, Spokane, WA 99202 | 2013-08-03 |
| 1710237003 | Amber N Wilson | Physician Assistant | 1422 E Grassland Ct, Spokane, WA 99217-8700 | 2012-09-13 |
| 1669747275 | Tiffany Lynn Forquer | Physician Assistant | 601 West Fifth Avenue, Suite 400, Spokane, WA 99204-2457 | 2012-03-14 |
| 1235420498 | Lauren Patton | Physician Assistant | 9027 N Indian Trail Rd, Spokane, WA 99208-9116 | 2011-04-22 |
| Find all providers in SPOKANE | ||||
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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.