RYAN NOVATNY (NPI# 1639657794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639657794 |
| Entity Type | Individual |
| Full Name | RYAN NOVATNY |
| Credential | MED, LAT, ATC |
| Practice Address |
501 Westminster Ave Fulton MO 65251-1299 |
| Mailing Address |
501 Westminster Ave Fulton MO 65251-1230 |
| Practice Telephone | 5735925623 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-11-04 |
| NPI Deactivation Date | 06/17/2020 |
| NPI Reactivation Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2018019009 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 411 Central Methodist Sq Ste 1, Fayette, MO 652481198 | 6602486978 |
| Street Address |
501 WESTMINSTER AVE |
| City | FULTON |
| State | MO |
| Zip Code | 65251-1299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386813855 | Zorina Marie Pina-hauan | Nurse Practitioner | 501 Westminster Ave, Fulton, MO 65251-1230 | 2008-02-28 |
| 1902438765 | Westminster College | Orthopaedic Surgery | 501 Westminster Ave, Fulton, MO 65251-1230 | 2020-02-10 |
| 1326553488 | Mary Ruth Mckee | Specialist/Technologist | 501 Westminster Ave, Fulton, MO 65251-1230 | 2017-12-11 |
| 1336663111 | Kelly Thomas Arends | Specialist/Technologist | 501 Westminster Ave, Fulton, MO 65251-1299 | 2017-08-02 |
| 1376997726 | Elise Pacholewski | Student in an Organized Health Care Education/Training Program | 501 Westminster Ave, Fulton, MO 65251-1230 | 2016-04-21 |
| 1891948279 | Joshua Stephen Thompson | Specialist/Technologist | 501 Westminster Ave, Fulton, MO 65251-1230 | 2008-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1922458454 | Benjamin Newell Crary | Family Medicine | 110 N Hosital Dr, Fulton, MO 65251 | 2016-06-15 |
| 1750763348 | Ssm Audrain Health Care, Inc | Clinic/Center | 350 Country Meadow Ln, Fulton, MO 65251 | 2015-06-19 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1881019750 | Mid-missouri Hearing and Balance, Inc. | Audiologist-Hearing Aid Fitter | 850 W. Hospital Drive, Ste. G, Fulton, MO 65251 | 2014-02-28 |
| 1861828105 | Justin Ryan Campbell | Occupational Therapist | 508 Saint Eunice Road, Fulton, MO 65251 | 2013-09-18 |
| 1417257536 | June A Dillon | Counselor | 2625 Fairway Dr., Suite E, Fulton, MO 65251 | 2010-10-22 |
| 1033354196 | Michael K Mcelhinney | Specialist/Technologist | One University Avenue, William Woods University - Athletics, Fulton, MO 65251 | 2008-12-03 |
| 1326299967 | Karanbir Sandhu | Dentist | 1393 Highway O, Fulton, MO 65251 | 2008-10-01 |
| Find all providers in zip 65251 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837671 | Shelby Teresa Feltrop | Specialist/Technologist | William Woods University, 1 University Ave, Fulton, MO 65251-6525 | 2019-11-27 |
| 1811484538 | Michaela Dawn Dudenhoeffer | Specialist/Technologist | 13 W 5th St Apt A, Fulton, MO 65251-1720 | 2018-04-18 |
| 1649767369 | Kyle Patrick Gabrielson | Specialist/Technologist | 1 University Ave # 4259, Fulton, MO 65251-1098 | 2018-04-18 |
| 1003272956 | Richelle Renee Perkins | Specialist/Technologist | 2774 County Road 228, Fulton, MO 65251-3523 | 2016-01-07 |
| 1467860718 | Carrie Smith | Specialist/Technologist | 11550 Scaggsville Rd, Fulton, MD 20759-2206 | 2014-07-31 |
| 1033354196 | Michael K Mcelhinney | Specialist/Technologist | One University Avenue, William Woods University - Athletics, Fulton, MO 65251 | 2008-12-03 |
| 1801074984 | Amy E Haines | Specialist/Technologist | One University Ave, Fulton, MO 65251-2388 | 2008-01-31 |
| 1326553488 | Mary Ruth Mckee | Specialist/Technologist | 501 Westminster Ave, Fulton, MO 65251-1230 | 2017-12-11 |
| 1336663111 | Kelly Thomas Arends | Specialist/Technologist | 501 Westminster Ave, Fulton, MO 65251-1299 | 2017-08-02 |
| 1750821237 | Kelsey Gash | Specialist/Technologist | 401 Gaylord Dr, Fulton, MO 65251-2517 | 2017-03-02 |
| Find all providers in FULTON | ||||
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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.