MS. KATHLEEN A RYAN (NPI# 1538181888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538181888 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN A RYAN |
| Credential | PA-C |
| Practice Address |
5401 Old Court Road Northwest Hospital Center Randallstown MD 21133 |
| Mailing Address |
5401 Old Court Rd Attn: Credentialing Randallstown MD 21133-5103 |
| Practice Telephone | 4105212200 |
| Mailing Telephone | 4106015524 |
| Mailing Fax Number | 4106018946 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0002495 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061176 | Kathleen M Ryan | Social Worker | 22 Ormond St, Rockville Centre, NY 11570-5533 | 2020-07-28 |
| 1487166971 | Kathleen Ryan | Registered Nurse | 216 Ramapo Rd, Garnerville, NY 10923-1511 | 2017-10-25 |
| 1912270968 | Kathleen Jean Ryan | Pharmacist | 834 Sheridan, Pharmacy Department, Port Townsend, WA 98368 | 2012-02-21 |
| 1245372622 | Kathleen Ryan | Nurse Practitioner | 6907 Ellis Ct Apt C, 6907 C, Fort Polk, LA 71459-3123 | 2007-02-13 |
| 1659356905 | Kathleen L Ryan | Specialist | 204 Ark Rd, Ste 206 Lmc I, Mount Laurel, NJ 08054-3100 | 2005-12-09 |
| 1003461542 | Kathleen Ryan | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2019-08-01 |
| 1518449677 | Kathleen M Ryan | Nurse Practitioner | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2018-09-05 |
| 1861903460 | Kathleen Ryan | Behavioral Analyst | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2017-10-23 |
| 1891217568 | Kathleen Donovan Ryan | Physician Assistant | 22 Bramhall St, Portland, ME 04102-3134 | 2017-07-13 |
| 1811379340 | Kathleen Ryan | Counselor | 901 Chippewa St, Catholic Charities of Shiawassee and Genesee Counties, Flint, MI 48503-1552 | 2015-06-20 |
| Street Address |
5401 OLD COURT ROAD NORTHWEST HOSPITAL CENTER |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417993205 | Lisa M Quarles | Physician Assistant | 5401 Old Court Road, Northwest Hospital, Randallstown, MD 21133 | 2006-06-21 |
| 1669038436 | Julie Radnoff | Physical Therapist | 5401 Old Court Road, Randallstown, MD 21133 | 2019-05-16 |
| 1508291410 | Kristy Michelle Fogle | Physician Assistant | 5401 Old Court Road, Northwest Hospital-emergency Department, Randallstown, MD 21133 | 2013-09-10 |
| 1770648370 | Thomas J Krisanda | Emergency Medicine | 5401 Old Court Road, Northwest Hospital Emergency Dept., Randallstown, MD 21133 | 2006-12-26 |
| 1710083241 | Mayer Gorbaty | Internal Medicine | 5401 Old Court Road, Northwest Hospital, Randallstown, MD 21133 | 2006-09-15 |
| 1013939255 | Mario Klimentov Dimitrov | Physician Assistant | 5401 Old Court Road, Northwest Hospital Center, Randallstown, MD 21133 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730658436 | Megan Gibbons | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2018-11-26 |
| 1245706431 | Lisa Michelle Taylor | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2018-10-16 |
| 1689051567 | Chelsea Rene Smith | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2015-04-30 |
| 1356303630 | Jeffrey L Stark | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-04-04 |
| 1316909898 | Ronaldo T Mendoza | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-04-03 |
| 1851353114 | Tiffany M Smith | Physician Assistant | 5401 Old Court Rd, Dept of Surgery, Randallstown, MD 21133-5103 | 2006-04-03 |
| 1285695098 | Jennifer L Barlow | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-03-31 |
| 1053372664 | Mindi N Valuckas | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-03-31 |
| 1679534200 | Christy M Crane | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-03-31 |
| 1528029600 | Lisa M Marroney | Physician Assistant | 5401 Old Court Rd, Dept. of Surgery, Randallstown, MD 21133-5103 | 2006-03-29 |
| Find all providers in RANDALLSTOWN | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
Please comment or provide details below to improve the information on MS. KATHLEEN A RYAN.
| 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.