RYAN WILLEMS


Address: 1216 Ryans Rd, Suite 1, Worthington, MN 56187-1722
Phone: 5073722921

RYAN WILLEMS (NPI# 1609038736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609038736
Entity Type Individual
Full Name RYAN WILLEMS
Credential PA
Practice Address 1216 Ryans Rd
Suite 1
Worthington
MN 56187-1722
Practice Telephone 5073722921
Practice Fax Number 5073725789
Mailing Telephone 5073722921
Mailing Fax Number 5073725789
Enumeration Date 2008-06-30
Last Update Date 2015-05-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1216 RYANS RD
SUITE 1
City WORTHINGTON
State MN
Zip Code 56187-1722

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306839022 Benjamin Ernest Gaines Obstetrics & Gynecology 1216 Ryans Rd, Worthington, MN 56187-1722 2005-08-28
1891335311 Efrain Ocegueda Dietitian, Registered 1216 Ryans Rd, Worthington, MN 56187-1722 2020-01-13
1629632443 Debra Kay Behrends Registered Nurse 1216 Ryans Rd, Worthington, MN 56187-1722 2019-04-26
1730563404 Amir Makhmalbaf Internal Medicine 1216 Ryans Rd, Worthington, MN 56187-1722 2015-07-13
1629472964 Victoria Blanchette Nurse Practitioner 1216 Ryans Rd, Worthington, MN 56187-1722 2014-10-15
1801226188 Kristal Grigsby Social Worker 1216 Ryans Rd, Worthington, MN 56187-1722 2013-11-22
1679826465 Darlene Renee Dewitt Dietitian, Registered 1216 Ryans Rd, Worthington, MN 56187-1722 2012-10-18
1922357839 Avera Mckennan Clinic/Center 1216 Ryans Rd, Suite 2, Worthington, MN 56187-1722 2012-09-06
1609135367 Katherine Elizabeth Smidt Advanced Practice Midwife 1216 Ryans Rd, Worthington, MN 56187-1722 2012-05-15
1821319344 Syed Asad Shah Family Medicine 1216 Ryans Rd, Worthington, MN 56187-1722 2010-06-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316224363 Paul Michael Carlson Dentist 507 South Shore Drive, Worthington, MN 56187 2011-11-04
1912216540 Nobles County Jail Clinic/Center 1530 Airport Road, Worthington, MN 56187 2010-09-30
1306984539 Edward Thomas Mcniece Dentist 1027 Second Ave, Worthington, MN 56187 2007-02-01
1053338780 Diagnostic Radiologic Imaging Pa Radiology 1607 N Mcmillan St, Ste 1, Worthington, MN 56187 2006-07-17
1427014232 Scott James Hoffman Podiatrist 1205 Ryans Road, Worthington, MN 56187 2006-04-21
1588654404 Jason Coy Turner Pharmacist 511 10th St, Worthington, MN 56187 2005-10-22
1518433879 Nicole Block Nurse Practitioner 1680 Diagonal Rd, Worthington, MN 56187 2018-10-15
1033423322 Rachael R Dekker Nurse Practitioner 1018 6th Ave, Worthington, MN 56187 2010-07-29
1417196601 Jonathan Gabriel Eli-phillips Obstetrics & Gynecology 1018 6th Ave, Worthington, MN 56187 2009-02-11
1174716245 Sanford Clinic Radiology 1018 6th Ave, Worthington, MN 56187 2007-08-22
Find all providers in zip 56187

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376735761 Thomas K. Hunt Physician Assistant 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085-2217 2007-08-10
1013003706 Noune Petrosian Physician Assistant 508 Tenth Street, Worthington, MN 56187-2343 2006-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194120204 Nathan C Clapper Physician Assistant 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 2014-10-31
1003180555 Elizabeth K Saterenzoller Physician Assistant 1015 Marsh Street, Mankato, MN 56002-8673 2012-03-01
1477824472 Andrea Jo Pitzl Physician Assistant 3208 36th Ave Ne, St Anthony, MN 55418-1713 2012-01-23
1447560693 Jeanine Marie Edstrom Physician Assistant 1185 Town Centre Dr Ste 200, Eagan, MN 55123-1343 2010-10-20
1841504792 Michelle R Aumock Physician Assistant 8100 W 78th Street, Ste 230, Edina, MN 55439 2010-08-03
1194042390 Gerald Frederick Anderson Physician Assistant 4060 Haines Rd, #104, Duluth, MN 55811-1746 2010-04-27
1558683904 Oswaldo Serge Physician Assistant 4036 3rd St Nw, Rochester, MN 55901-7564 2010-02-25
1417288945 Amanda Kay Johnson Physician Assistant 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 2010-01-22
1790922755 Jenelle Cecilia Rock Physician Assistant 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7590 2009-01-13
1174775514 Nathan J Nistler Physician Assistant 3580 Arcade Stq, Vadnais Heights, MN 55127-7135 2008-10-16
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Competitor

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City WORTHINGTON
Zip Code 56187

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Dataset Information

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.

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