Active NPI
Ryan Loomis
- Physician Assistant
- Land O Lakes, FL
National Provider Identifier
1073383428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9121878
- Practice address
- 20615 Amberfield Dr Ste 102
Land O Lakes, FL 34638-4387 - Phone
- (813) 949-2950
- Fax
- (813) 949-2924
- NPI assigned
- Jan 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9121878 | FL | Primary |
Addresses
Primary practice location
20615 Amberfield Dr Ste 102
Land O Lakes, FL 34638-4387
Mailing address
20615 Amberfield Dr Ste 102
Land O Lakes, FL 34638-4387
Phone (813) 949-2950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Management of Florida Inc | Past | Accepting new patients | |
| GMS Florida West Coast Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1184681355
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1033395397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1073383428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20615 AMBERFIELD DR STE 102",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346384387",
"telephone_number": "813-949-2950",
"fax_number": "813-949-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20615 AMBERFIELD DR STE 102",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346384387",
"telephone_number": "813-949-2950",
"fax_number": "813-949-2924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMIS",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-08",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9121878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.