| Andrew Ryan, PA-C | |
|
1717 Arlington Ave, Emergency Department, Caldwell, ID 83605-4802 | |
| (208) 459-4641 | |
| Not Available |
| Full Name | Andrew Ryan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1717 Arlington Ave, Caldwell, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336318914 | NPI | - | NPPES |
| PA-731 | Other | ID | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-731 (Idaho) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Entity Name | Carepoint Health Emergency Medicine Idaho PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285275461 PECOS PAC ID: 6406283860 Enrollment ID: O20200224002457 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Ryan, PA-C Po Box 634646, Cincinnati, OH 45263-0001 Ph: (800) 443-3672 | Andrew Ryan, PA-C 1717 Arlington Ave, Emergency Department, Caldwell, ID 83605-4802 Ph: (208) 459-4641 |
Heather Hoewing, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1906 Fairview Ave, Ste 230, Caldwell, ID 83605 Phone: 208-429-4667 Fax: 208-442-6520 |
Hodaka Paul Abe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 |
Jason Weaver, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2609 S 10th Ave, Caldwell, ID 83605 Phone: 208-454-2771 |
Michelle Stoddard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 712 Aviation Way, Caldwell, ID 83605 Phone: 208-302-7150 Fax: 208-302-7155 |
Cameron Gregory Davis, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St Ste 100, Caldwell, ID 83605 Phone: 208-302-7150 |
Ms. Janet E Mitchell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4521 Thomas Jefferson St, Caldwell, ID 83605 Phone: 208-454-4820 |
Thomas Wayne Tryon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 |