CHRISTOPHER A RYAN (NPI# 1639112758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639112758 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER A RYAN |
| Credential | PA-C |
| Practice Address |
818 Congress St Portland ME 04102-3112 |
| Mailing Address |
301c Us Route One Scarborough ME 04074-9701 |
| Practice Telephone | 2077738161 |
| Practice Fax Number | 2077731489 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 1882 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA001074 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217206 | Christopher Ryan | Specialist/Technologist | 110 International Dr Apt 5, Athens, GA 30605-3693 | 2018-09-06 |
| 1295112696 | Christopher Ryan | Pharmacist | 15 Porter Dr, Wilbraham, MA 01095-1545 | 2015-05-05 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| 1215253406 | Christopher Ryan | Social Worker | 1838 Elm St, Manchester, NH 03104-2966 | 2010-04-13 |
| 1255473609 | Christopher Michael Ryan | Physical Therapist | 540 Ralston Ave Ste B, Belmont, CA 94002-2866 | 2007-02-13 |
| 1699860544 | Christopher Charles Ryan | Social Worker | 1081 Main St, Suite F, Fishkill, NY 12524-3504 | 2006-10-04 |
| 1659303790 | Christopher P Ryan | Chiropractor | 2374 Mound Rd Rte 414, Waterloo, NY 13165 | 2006-07-07 |
| 1386114213 | Christopher Ryan | Physical Medicine & Rehabilitation | 22255 Greenfield Rd, Southfield, MI 48075-3710 | 2018-12-04 |
| 1225569403 | Christopher Thomas Ryan | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2017-03-21 |
| 1386090496 | Christopher Lee Ryan | Family Medicine | 2380 N 400 E Ste A, North Logan, UT 84341-1756 | 2016-05-06 |
| Street Address |
818 CONGRESS ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053383547 | Leonard V Sherwood | Physician Assistant | 818 Congress St, Portland, ME 04102-3112 | 2006-02-07 |
| 1932610599 | Andrea Wyman | Nurse Practitioner | 818 Congress St, Portland, ME 04102-3112 | 2017-10-22 |
| 1497277735 | Jeffrey G Previte | Physician Assistant | 818 Congress St, Portland, ME 04102-3112 | 2017-07-07 |
| 1578092706 | Monica Chen Patregnani | Nurse Practitioner | 818 Congress St, Portland, ME 04102-3112 | 2017-06-10 |
| 1003366709 | Patricia Mae Wieler | Nurse Practitioner | 818 Congress St, Portland, ME 04102-3112 | 2016-10-06 |
| 1083161822 | Cody Mauch | Physician Assistant | 818 Congress St, Portland, ME 04102-3112 | 2016-09-09 |
| 1386198539 | Abby Harrell | Nurse Practitioner | 818 Congress St, Portland, ME 04102 | 2016-08-04 |
| 1902261209 | Devin Judith Lyon | Physician Assistant | 818 Congress St, Portland, ME 04102-3112 | 2015-12-31 |
| 1457742009 | Alexis Rybny | Registered Nurse | 818 Congress St, Portland, ME 04102-3112 | 2015-02-17 |
| 1326455742 | Amy Plante | Physician Assistant | 818 Congress St, Portland, ME 04102-3112 | 2014-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1881090033 | Sanja Bukarac | Physician Assistant | 20 Buca Run, Portland, ME 04103-1427 | 2014-11-17 |
| 1194130716 | Nicole Lessard | Physician Assistant | 27 Bramhall St, Portland, ME 04102 | 2014-06-23 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1013161405 | Lorraine Walburga Gohman | Physician Assistant | 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 | 2008-11-11 |
| 1841472065 | Mandy Melissa Williams | Physician Assistant | 265 N Broadway, Portland, OR 97227-1800 | 2007-11-29 |
| 1063612455 | Donald R Noel | Physician Assistant | 10101 Se Main St Ste 3008, Portland, OR 97216-2458 | 2007-07-23 |
| Find all providers in PORTLAND | ||||
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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.