DR. PAUL MCCAFFERTY RYAN (NPI# 1770555393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770555393 |
| Entity Type | Individual |
| Full Name | DR. PAUL MCCAFFERTY RYAN |
| Credential | MD |
| Practice Address |
Attn: Mchj-sop Madigan Army Medical Center Tacoma WA 98431-0001 |
| Mailing Address |
5014 N Winnifred St Ruston WA 98407-3146 |
| Practice Telephone | 2539681790 |
| Mailing Telephone | 2536783204 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 01053707A | IN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740530831 | Paul Francis Ryan | Acupuncturist | 302 5th Ave. Fl 8, #817, New York, NY 10001 | 2012-09-15 |
| 1649344862 | Paul Ryan | Optometrist | 2816 Audubon Village Dr, Audubon, PA 19403-2262 | 2006-11-20 |
| 1861573990 | Paul Frederic Ryan | Internal Medicine | 399 E Highland Ave Ste 307, San Bernardino, CA 92404-3853 | 2006-10-17 |
| 1992725295 | Paul W Ryan | Chiropractor | 2374 Mound Rd, Rte 414, Waterloo, NY 13165 | 2006-07-20 |
| 1013527159 | Paul Ryan | Counselor | 58 High St, Torrington, CT 06790-5106 | 2020-08-04 |
| 1922632603 | Paul Andrew Ryan | Registered Nurse | 331 S Water St, Sparta, WI 54656-1726 | 2020-03-03 |
| 1912967852 | Paul Ryan | Radiology | 3525 Olentangy River Rd, Ste 5360, Columbus, OH 43214-3937 | 2006-03-24 |
| 1831169010 | Paul Harold Ryan Jr. | Ophthalmology | 1420 Tara Hills Dr, Suite D, Pinole, CA 94564-2530 | 2006-01-23 |
| 1497750749 | Paul D. Ryan | Internal Medicine | 11 Salt Creek Ln, Hinsdale, IL 60521-2990 | 2005-06-14 |
| Street Address |
ATTN: MCHJ-SOP MADIGAN ARMY MEDICAL CENTER |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013013309 | Michael Matthew Dickman | Military Health Care Provider | 9040 Jackson Avenue Family Medicine Department, Tacoma, WA 98431 | 2006-09-15 |
| 1518935931 | Eric A. Lange | Military Health Care Provider | 312 Fitzsimmons Ave, Tacoma, WA 98341 | 2006-03-10 |
| 1255998076 | Scott Michael Brown | Military Health Care Provider | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5650 | 2019-05-28 |
| 1083148126 | Juan Daniel Mendoza | Military Health Care Provider | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 | 2017-04-15 |
| 1912280892 | Gary Lynn Helton Jr. | Military Health Care Provider | 9040 Jackson Ave, Tacoma, WA 98431-5648 | 2011-09-27 |
| 1245559665 | Tyler R Reese | Military Health Care Provider | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1000 | 2010-05-25 |
| 1326275553 | Chelsea Lynee Jordan | Military Health Care Provider | Madigan Army Medical Ctr, Building 9040 Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2009-06-15 |
| 1699923128 | Bruce Duane Pier | Military Health Care Provider | 9040 Jackson Ave, Tacoma, WA 98431-1000 | 2008-09-09 |
| 1215081708 | James B. Kinney Jr. | Military Health Care Provider | Madigan Army Medical Ctr, Department of Pediatrics, Mchj-p, Tacoma, WA 98431-1100 | 2007-01-22 |
| 1013087519 | Jon Carter | Military Health Care Provider | 9040 Reid St, Tacoma, WA 98431-1100 | 2006-11-09 |
| Find all providers in TACOMA | ||||
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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.