RYAN ZACHARY JOHNSON (NPI# 1659884062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659884062 |
| Entity Type | Individual |
| Full Name | RYAN ZACHARY JOHNSON |
| Credential | PA-C |
| Practice Address |
3100 Blue Ridge Rd Raleigh NC 27612-8036 |
| Practice Telephone | 9197192250 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-07701 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1235693862 | Ryan Joseph Maurice Johnson | Behavior Technician | 5985 Devecchi Ave Apt 277, Citrus Heights, CA 95621-6091 | 2019-01-28 |
| 1285084459 | Ryan Johnson | Dentist | 1566 Dunn Ave, Jacksonville, FL 32218-4734 | 2016-06-17 |
| 1609265818 | Ryan Johnson | Specialist/Technologist | 4336 Dell Rd Apt K, Lansing, MI 48911-8136 | 2015-01-12 |
| 1790181212 | Ryan Johnson | Specialist/Technologist | 1162 Eden Terrace Dr, Rock Hill, SC 29733-3208 | 2014-11-11 |
| 1588073431 | Ryan Scott Johnson | Massage Therapist | 10 North Virginia Street, Crystal Lake, IL 60014 | 2014-08-05 |
| 1235545161 | Ryan Johnson | Counselor | 207 W Branch Ave, Pine Hill, NJ 08021-7084 | 2014-07-11 |
| 1417369042 | Ryan Alan Johnson | Dentist | 400 Fairview Ave Ste 6, Ponca City, OK 74601-1910 | 2014-06-02 |
| 1861815482 | Ryan James Johnson | Registered Nurse | 140 Tamarack Ave, Apt 1, Carlsbad, CA 92008-4099 | 2014-02-03 |
| 1306281027 | Ryan Aaron Johnson | Audiologist | 4190 Bonita Rd Ste 104, Bonita, CA 91902-1330 | 2013-05-08 |
| Street Address |
3100 BLUE RIDGE RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-8036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518968775 | Seth A Kaplan | Internal Medicine | 3100 Blue Ridge Rd, Suite 300, Raleigh, NC 27612-8036 | 2005-08-09 |
| 1639695711 | Erin N Wyant | Physical Therapist | 3100 Blue Ridge Rd, Raleigh, NC 27612-8036 | 2017-08-21 |
| 1013370527 | Becky Moore | Physician Assistant | 3100 Blue Ridge Rd, #103, Raleigh, NC 27612-8036 | 2016-04-01 |
| 1639519846 | Kaitlin Slone | Dietitian, Registered | 3100 Blue Ridge Rd, Ste 300, Raleigh, NC 27612-8002 | 2013-07-02 |
| 1841633856 | Elise Rachelle Bunn | Physician Assistant | 3100 Blue Ridge Rd, Suite 300, Raleigh, NC 27612-8036 | 2013-04-09 |
| 1851674717 | Matthew Schwanke | Physician Assistant | 3100 Blue Ridge Rd, Suite 100, Raleigh, NC 27612-8036 | 2011-09-27 |
| 1699003509 | Angela Hira | Internal Medicine | 3100 Blue Ridge Rd, 3000, Raleigh, NC 27612-8036 | 2009-12-04 |
| 1508008574 | Matthew G Kanaan | Family Medicine | 3100 Blue Ridge Rd, Raleigh, NC 27612-8036 | 2009-04-06 |
| 1437317419 | Bushra Mastoor | Internal Medicine | 3100 Blue Ridge Rd, Raleigh, NC 27612-8036 | 2008-05-27 |
| 1174792519 | Leslie Smith | Audiologist-Hearing Aid Fitter | 3100 Blue Ridge Rd, Suite 201, Raleigh, NC 27612-8036 | 2008-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| 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 |
|---|---|---|---|---|
| 1457961682 | Megan Kathleen Brown | Physician Assistant | 3024 New Bern Ave Ste 102, Raleigh, NC 27610-1247 | 2020-08-03 |
| 1124640651 | Kayla Marie Sincock | Physician Assistant | 12205 Harcourt Dr, Raleigh, NC 27613-5603 | 2020-05-06 |
| 1093340531 | Hannah Stanifer | Physician Assistant | 510 N Wilmington St Apt 227, Raleigh, NC 27604-8021 | 2020-03-05 |
| 1962035642 | Brianna Stolz | Physician Assistant | 3811 Ed Dr Ste 110, Raleigh, NC 27612-2393 | 2020-02-20 |
| 1316577737 | Jacey Elizabeth Byers | Physician Assistant | 700 Hawes Ct Apt C, Raleigh, NC 27608-1745 | 2020-01-24 |
| 1033756598 | Julie A Romeis | Physician Assistant | 1929 N Hills Dr Unit G, Raleigh, NC 27612-4022 | 2019-12-04 |
| 1346886769 | Pooja Parmar | Physician Assistant | 8804 Bluff Pointe Ct, Raleigh, NC 27615-4172 | 2019-11-20 |
| 1649829557 | Bryan Edwards | Physician Assistant | 4551 New Bern Ave Ste A100, Raleigh, NC 27610-1551 | 2019-09-04 |
| 1790343192 | Savanah Palen Mullen | Physician Assistant | 10208 Cerny St Ste 204, Raleigh, NC 27617-7885 | 2019-05-31 |
| 1356906184 | Andrew Paul Apicella | Physician Assistant | 3024 New Bern Ave Ste 302, Raleigh, NC 27610-1247 | 2019-05-07 |
| Find all providers in RALEIGH | ||||
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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.