PAUL W RYAN (NPI# 1992725295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992725295 |
| Entity Type | Individual |
| Full Name | PAUL W RYAN |
| Credential | DC |
| Practice Address |
2374 Mound Rd Rte 414 Waterloo NY 13165 |
| Mailing Address |
Po Box 664 Waterloo NY 13165-0664 |
| Practice Telephone | 3155393262 |
| Practice Fax Number | 3155395221 |
| Mailing Telephone | 3155393262 |
| Mailing Fax Number | 3155395221 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X006102-1 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PREFERRED CARE | 101869AN | 01 |
| 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 |
| 1770555393 | Paul Mccafferty Ryan | Military Health Care Provider | Attn: Mchj-sop, Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2006-02-07 |
| 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 |
2374 MOUND RD RTE 414 |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1770803918 | Shelley Reeland | Massage Therapist | 1388 Rt 96 N, Waterloo, NY 13165 | 2010-06-10 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| Find all providers in zip 13165 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448370 | Tasha Marie Fuller | Chiropractor | 47 Virginia St, Waterloo, NY 13165-1444 | 2018-12-06 |
| 1922591452 | Amanda Hussman | Chiropractor | 203 E Tower Park Dr Ste B, Waterloo, IA 50701-9321 | 2018-06-09 |
| 1104287069 | Back In Motion Chiropractic LLC | Chiropractor | 2835 University Ave, Waterloo, IA 50701-3335 | 2016-03-18 |
| 1780067256 | Emily Michele Kruse | Chiropractor | 208 E Mill St, Waterloo, IL 62298-1519 | 2015-07-02 |
| 1598160590 | Kingsley D Kabari | Chiropractor | 1963 Us Route 20, Waterloo, NY 13165-8552 | 2014-11-03 |
| 1093114589 | Bryan D'aoust | Chiropractor | 430 Wagner St, Waterloo, NY 13165-6702 | 2014-08-20 |
| 1346552643 | Lance E. Vanderloo Dc PC | Chiropractor | 3731 Kimball Avenue, Waterloo, IA 50702-5728 | 2010-07-02 |
| 1528382793 | Schumann Chiropractic LLC | Chiropractor | 143 N Monroe St, Waterloo, WI 53594-1124 | 2010-03-17 |
| 1447572243 | Devin D Schumann | Chiropractor | 132 W Madison St, Waterloo, WI 53594-1320 | 2010-02-19 |
| 1669654356 | Hartzell Family Chiropractic, P.l.c. | Chiropractor | 509 Ansborough Ave, Ste A, Waterloo, IA 50701-2139 | 2007-12-04 |
| Find all providers in WATERLOO | ||||
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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.